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Home My WebLink About2011-2012 Recycling Reports 4500•FM•Sw0011 Rev.1212008 COMMONWEALTH OF PENNSYLVANIA' ` — For the period: DEPARTMENT OF ENVIRONMENTAL PROTECTION January 1,201/ to December 31,20 j/ rd pennsytvania BUREAU OF WASTE MANAGEMENT iirri n,r,wren/it sr,nvi,2=evLNrlL )rreti+n Due: Feb.l of the following year ANNUAL. RECYCLING REPORT To: Municipality where For Commercial, Municipal,Institutional Facilities recyclables were generated County Name: , ,,,ixt,r�l I Municipality Name: /1--A/7n,.%-i "%cyi�.vr+f f} Name of Establishment: rJ / Pity: c Zip Code: /7 'S Address:!�'y.�-��T�t-�.� C�l�rt�� -� tY� ��:-��v�;�sr- Email: 1--4. �t1a.,.�, �? -1-�.. ,0�4< „�;.pA• Lis Telephone: '7/7-S`17— k/g Fax:r/7-�: T-L/ZS-'-f Primary Business Function: r�rl.cic'r/)/4 L. C=-‘vcNZ,v,fr Yvr- How does your establishment handle recyclable materials? 12 Source-separated 13 Commingled 0-Single Stream How are your recyclable materials collected? ©"Collected by recycling facility or broker(name): /h0 V'4/'r: :V k c e.o-� 24-,v0 ,L.L. , Er-Collected by private hauler(name): 4v.4.r rt..- ".404.6t-vit c `, t e-s, ecor'1 /M re fs, tcia.-r-7Fy S ❑Collected by confidential document destruction company(name): ❑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. ❑Establishment delivers materials to recycling facility(name): ❑Other(please specify): I. 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 legible weight ticket from your recycler. 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 Type Weight Material TVDe, Weight 11 Single Stream: [SS1) Metal Cans and Bottles: (All recyclables,including fiber,collected together) ❑ Aluminum Cans [AA1) ®'Commingled: [XXX) ❑ Steel&Bimetallic(Tin)Cans [P02) (2 or more recyclables collected together,fiber separate) ❑ Mixed Cans [MX2) Paper: Plastics: 21- Paper: Cardboard • . [C01) ❑ Plastic: PET [PIA) ❑ Paper: Magazines&Catalogs [PA1] ❑ Plastic: HOPE [PL2] ❑ Paper: Mixed/Other(junk mail, [PA3] ❑ Plastic: PVC [PL3] • paper bags,paperboard, 0 Plastic: LDPE [PIA) etc.) ❑ Plastic: PP tPL5) ❑ Paper: Newsprint [PA2] ❑ Plastic: PS [PLC] © Paper: Office Paper(all grades) [PA4) ❑ Plastic: Film [PLC) ❑ Paper: Phone Books [PACT ©" Plastic: Mixed [PL7] Glass Bottles and Jars: ❑ Plastic: Other [PL9] ❑ Glass: Brown [GL4] Organics: ❑ Glass: Clear [Gill ❑ Food Waste [FWI] ❑ Glass: Green (GL3) ❑ Wood Waste [WN1] ❑ Glass: Mixed [GL2] ❑ Yard and Leaf Waste [Y01] ❑ Glass: Other [GL6] *Report only poet-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 not be reported on this form. **Processing residue: Material that is collected and weighed with recyclables,but is disposed rather than recycled. 1 of 2 • 4500-EM-SW0011 Rev.1212008 , • 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). - Conversion Chart Weight Antifreeze: 7.2 lbs per gallon Other Materials Recycled Code (tons) ❑Drum:Fiber DR3 Battery--Lead Acid: Car=17.8 lbs 13-Aluminum Scrap AA2 Truck=48.7 lbs ❑Brass NO3 Motorcycle=8.7 lbs ❑Copper NO2 Rubber Tires: Car=21 lbs ❑Ferrous Metals F01 Truck=70 ibs ❑ Non-Ferrous Metals N01 Used Oil: 7.2 lbs per gallon • ❑Lead N04 Oil Filters: 1.2 lbs each ❑Nickel N10 _ Glass—Whole Bottle: 1 ton=2 yds3 ❑Stainless Steel N05 Newsprint—Loose: 1 ton=3 yds3 • ❑White Goods F03 Corrugated Cardboard: 2.5'x 4'x 5'bate=1100 Ibs ❑Drum:Steel DR2 Plastic Soda Bottles ❑Wre/Cable W01 Whole, Loose: 30 lbs=1 yd3 ❑ Mixed Metals MM1 Plastic Film: 2.5'x 4'x 5'bale=1500 lbs ❑Glass:Plate GL5 ❑ Drum: Plastic DR1 Solid&Liquid Fats: 55 gallon drum=412 lbs ❑Asphalt ASP White Goods • ❑Clothing&Textiles M03 Freezers: 1 =250 lbs ❑Construction& Refrigerators: 1 =250 lbs Demolition M02 Other Appliances: 1 =150 lbs ❑ Furniture&Furnishings M04 Yard Waste ❑Mattresses MT1 Leaves: 4 yd3=1 ton ❑Rubber Tires M01 Grass Clippings: 2 yd3=1 ton ❑Miscellaneous/Other MIS Wood Chips: 1 yd3=500 lbs Items Other,Please list below: Household Hazardous Code SUBMIT REPORT Waste 0Antifreeze 002 TO MUNICIPALITY ❑Batteries: Lead Acid 601 Y. FEB ,�( ❑Batteries:Other 6 BY �'o'' ❑Catalytic Converters, v01 D Radiators Your accurate and timely ❑Computer Systems CBI reporting enables the County and ❑Consumer Electronics CR1 the State to determine an o Fluorescent Tubes/CFL's— FL1 accurate recycling rate and ❑Oil Filters OL3 showcase the importance and ❑Other HHW viability of the recycling industry. (paints,varnish,pesticides,etc.) _ ❑Used Oil OL2 ' I certify,to the best of my knowledge,that the information on-this form is complete and accurate. I further authorize the Municipality to aggregate this report for DEP reporting purposes. If a legible weight ticket Is attached, this report may also be used for DEP grant purposes. t �i1.Arl v),/v% /arvtls,N r i„ 4 0 44 i A-1, A„,,, ,,,,, ,,,t.4....„.._/7,44 0 Authorized Representative Title Sig 'ture Date 2 of 2 00 n 00 O n O O 0 0 1n m cO O M O H O O vi � N ro M OO 14 O O Fp LA 3 Q Z'..*-- _N W c 00 O CO as • t0 N ....... c:?..tz. —. C�j r. M �9� \° C� 0...., tin E E W • c bA E 2 O 0 n +, a) rf o 7o CO > 2 v +, 4- 00 co E 0 as c1 L J 0. (a oo N N O c-1 to V a/ n. N N n o d aa; L y Q 00 .-4 0 a t j (o {p a• U 3 o' u co co tJ L • ri I-. cc LL.. •c •+:. •L >- C L.; N o E L to (� L Q Q Q CO (0 ijj E ttO C A a) 0 a1 OE 2 C 0 U U C C (o m U CC i a U Y C d d n ioN.c 0CD � o N r1 O fr 4-. t 0 0. aJ a H as -°a �° C E co CO O (0 '� cc L O a �- 'Q C -p L ++ L f= 3 co -a 3 2.1 a o U X (n tv E E '94 0 F 0UZ 0 .- � � o E 73 E a� o y >n E �_ O v -' a U s a� E f.. L. L V1 1/1 • 6 •E T t • c o (tea (moo m a c sn �n o 4500-FM-SW0011 Rev. 12/2008 COMMO`` EALTH OF For the period: 0%3 DEPARTMENT OF OF ENVIRONMENTAL MANAGEMENT AL PROECTION January 1,20 ,a to December 31,20 r I raj pennsylvrania T,ON ANNUAL RECYCLING REPORT Due: Feb. 1 of the following year To: Municipality where For Commercial, Municipal, Institutional Facilities recyclables were generated County Name: FRANKLIN Municipality Name: BOROUGH OF CHAMBERSBURG Name of Establishment: BOROUGH OF CHAMBERSBURG Address: 100 S. SECOND STREET City: CHAMBERSBURG Zip Code: 17201 Email: dfinch @chambersburgpa.gov Telephone: 264-5151 Fax:264-0224 Primary Business Function: How does your establishment handle recyclable materials? ❑Source-separated ❑ Commingled ❑ Single Stream How are your recyclable materials collected? ❑ Collected by recycling facility or broker(name): Borough of Chambersburg ❑ Collected by private hauler(name): CWP, IESI, Waste Management ❑ Collected by confidential document destruction company (name): All Shred ❑ Establishment delivers materials to drop-off facility(location): Residents 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. ❑ Establishment delivers materials to recycling facility (name): Washington Township Transfer Station ❑ 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 legible weight ticket from our rec it . •., a** before entering your weights below. Note:If you u + + t $ 'am collection system, check the boxes beside each material in the mix. Material Type Weight Material Type Weight ❑ Single Stream: [SS1] Metal Cans and Bottles: (All recyclables, including fiber, collected together) ❑ Aluminum Cans [AA1] • Commingled: [XXX] 570.29 ❑ Steel& Bimetallic(Tin) Cans [F02] (2 or more recyclables collected together, fiber separate) ❑ Mixed Cans [MX2] Paper: Plastics: ❑ Paper: Cardboard [C01] 2749.37 ❑ Plastic: PET [PL1] ❑ Paper: Magazines& Catalogs [PA1] ❑ Plastic: HDPE [PL2] ❑ Paper: Mixed/Other(junk mail, [PA3] ❑ Plastic: PVC [PL3] paper bags, paperboard, ❑ Plastic: LDPE [PL4] etc.) ® Paper: Newsprint [PA2] 311.32 ❑ Plastic: PP [PL5] ❑ Plastic: PS [PL6] Paper: Office Paper(all grades) [PA4] 660.20 ❑ Plastic: Film [PL8] ❑ Paper: Phone Books [PA6] ❑ Plastic: Mixed [PL7] Glass Bottles and Jars: ❑ Plastic: Other [PL9] ❑ Glass: Brown (GL4] Organics: ❑ Glass: Clear [GL1] ❑ Food Waste [FW1] ❑ Glass: Green [GL3] ❑ Wood Waste [WW1] ❑ Glass: Mixed [GL2] V] Yard and Leaf Waste [Y01] 1250 ❑ Glass: Other [GL6] *Report only 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 not be reported on this form. **Processing residue: Material that is collected and weighed with recyclables, but is disposed rather than recycled. 1 of 2 . ;it,. ,' t 4500•FM-SW0011 Rev.1212008 ONWEALTH OF PENNSYLVANIA For the period: DEPARTMENT OF ENVIRONMENTAL PROTECTION 0� pennsylvania BUREAU OF WASTE MANAGEMENT January 1,20 l/ to December 31,2011�� nrNnmaiNinrrnvtuoNn¢nrm rrnnxTUtn ANNUAL RECYCLING REPORT Due: Feb.1 of the following year To: Municipality where For Commercial, Municipal, Institutional Facilities recyclables were generated County Name: Kliiv Municipality Name:'" filyy? // Name of Establishment: o f ce.c.5 _y_rai _ T-3A-r-I'S s _ t c 5 -.(0 1,' 01 : LUcfr l2. Address: A'G (Ji, 4 7 5 N' roil r r.)c rr� City: C cy,L p( 4 (x''17 Zip Code:r>:37-oi 7 Email: IYA cx VD 9- Lzm CA -L, N e Telephone:67/7) 7..79._5176 R Fax:(7/7) 7/9.7/7 g Primary Business Function: M wr\% c.: f cz.j 4- How does your establishment handle recyclable materials? ❑Source-separated ❑Commingled ❑Single Stream How are your recyclable materials collected? ❑Collected by recycling facility or broker(name): ❑ Collected by private hauler(name): ❑ Collected by confidential document destruction company (name): ❑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.ehl��,n be r5 J a 1 c.-[Apr, r establishment delivers materials to recycling facility (name): 4 E'i�r� �-,ti.s "c I�.i t?,w C c.rn cars ec:i e L n p'V t.r—I C A ❑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 legible weight ticket from your recycler. 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 Type Weight / Material Type Weight 1'4.G,-4. `it avn,-L Single Stream: [SS1] to ei 5 c ti etal Cans and Bottles: (All recyclables, including fiber, collected together) p Aluminum Cans [AA1] Lommingled: [XXX] 41 3; ❑ Steel& Bimetallic(Tin) Cans [F02] (2 or more recyclables collected together, fiber separate) ❑ Mixed Cans [MX2] Pap =�` Plastics: 5 Paper: Cardboard [C01] T, /E C Amere g1 Plastic: PET [PL1] ❑ Paper: Magazines& Catalogs [PA1] ❑ Plastic: HDPE [PL2] ❑ Paper: Mixed/Other(junk mail, [PA3] ❑ Plastic: PVC [PL3] paper bags, paperboard, ❑ Plastic: LDPE [PL4] etc.) ❑ Plastic: PP [PL5j ❑ Paper: Newsprint [PA2] ❑ Plastic: PS [PL6] ❑ Paper: Office Paper(all grades) [PA4] ❑ Plastic: Film [PL8] ❑ Paper: Phone Books [PA6] ❑ Plastic: Mixed [PL7] Glass Bottles and Jars: ❑ Plastic: Other [PL9] ❑ Glass: Brown [GL4] Organics: ❑ Glass: Clear [GL1] ❑ Food Waste [FW1] ❑ Glass: Green [GL3] ❑ Wood Waste [WW1] ❑ Glass: Mixed [GL2] ❑ Yard and Leaf Waste [Y01] ❑ Glass: Other [GL6] *Report only 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 not be reported on this form. . **Processing residue: Material that is collected and weighed with recyclables, but is disposed rather than recycled. 1 of 2 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). Conversion Chart Other Materials Recycled Code Weight y (tons) Antifreeze: 7.2 lbs per gallon ❑ Drum: Fiber DR3 - Batte Battery-Lead Acid: Car= 17.8 lbs ❑Aluminum Scrap AA2 Truck=48.7 lbs El Brass NO3 Motorcycle=8.7 lbs ❑Copper NO2 Rubber Tires: Car=21 lbs ❑Ferrous Metals F01 Truck=70 lbs ❑ Non-Ferrous Metals NO1 Used Oil: 7.2 lbs per gallon ❑ Lead N04 Oil Filters: 1.2 lbs each ❑ Nickel NW , Glass-Whole Bottle: 1 ton=2 yds3 ❑Stainless Steel N05 Newsprint-Loose: 1 ton=3 yds3 ❑White Goods F03 ❑ Drum: Steel DR2 - Corrugated Cardboard: 2.5'x 4'x 5'bale= 1100 lbs ❑Wire/Cable W01 Plastic Soda Bottles ❑ Mixed Metals MM1 Whole, Loose: 30 lbs= 1 yd3 CI Plate GL5 Plastic Film: 2.5'x 4'x 5'bale= 1500 lbs ❑ Drum: Plastic DR1 Solid&Liquid Fats: 55 gallon drum =412 lbs ❑Asphalt ASP White Goods- ❑ Clothing &Textiles M03 Freezers: 1 =250 lbs ❑ Construction & Refrigerators: 1 =250 lbs Demolition M02 Other Appliances: 1 = 150 lbs ❑ Furniture& Furnishings M04 Yard Waste ❑ Mattresses MT1 Leaves: 4 yd3= 1 ton ❑ Rubber Tires M01 Grass Clippings: 2 yd3= 1 ton ❑ Miscellaneous/Other MIS Wood Chips: 1 yd3=500 lbs Items Other,Please list below: Household Hazardous Code SUBMIT REPORT Waste ❑Antifreeze 002 TO MUNICIPALITY ❑ Batteries: Lead Acid B01 ❑Batteries:Other B02 BY FEB CI Catalytic Converters, 29rh Radiators V01 Your accurate and timely ❑Computer Systems CB1 reporting enables the County and ❑ Consumer Electronics CR1 the State to determine an ['Fluorescent Tubes/CFL's FL1 accurate recycling rate and ❑Oil Filters OL3 showcase the importance and ❑Other HHW viability of the recycling industry. (paints,varnish,pesticides,etc.) ❑ Used Oil OL2 I certify, to the best of my knowledge, that the information on this form is complete and accurate. l further authorize the Municipality to aggregate this report for DEP reporting purposes. If a legible weight ticket is a ached, this report ay also be used for DEP grant purposes. c5 Authorized Representative c-Title Signature Date 2 of 2 4500-FM-SW0011 Rev.1212008 COMMONWEALTH OF PENNSYLVANIA For the period: DEPARTMENT OF ENVIRONMENTAL PROTECTION 1, .� January 1 20 to December 31,20 pennsylvania BUREAU OF WASTE MANAGEMENT — — � III NI or tnvu?vnuNrm rrnn'tTfnN ANNUAL RECYCLING REPORT Due: Feb. 1 of the following year For Commercial, Municipal, Institutional Facilities To: Municipality where recyclables were generated County Name: cr,G.,r-N`k ;L,),.1 Municipality Name: 1\1—Nei Lt- c,':-,1 0 c.„.1-. � ��c :Th Name of Establishment: �� krj �c)-r c::�� h Address: j J 3 (Y)0,,,-,--1 ' ity: l'-\er ( e 4 5bu c>, Zip Code: t1,„?3 , Email:t�e�C �. ecrnraSt. Telephone: dm i� •- — (('Z 11 -'jam-'3 'b Faxrtt?3 '--3(17 . Primary Business Function: c 1 w7 c,.- How does your establishment handle recyclable materials? ❑Source-se ted ❑Commingled ❑Single Stream How are your recyclable materials collected? ,' \\ ` ,,,�yy-�Q� (Collected by recycling facility or broker(name): W�5' ��\GsY1a`l” -ya Sf\C. ❑Collected by private hauler(name): ❑Collected by confidential document destruction company(name): ❑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. ❑Establishment delivers materials to recycling facility (name): ❑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 legible weight ticket from your recycler. 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 Type Weight Material Type Weight K Single Stream: [SS1] GA, 3`I- Metal Cans and Bottles: (All recyclables, including fiber, collected together) ❑ Aluminum Cans [AA1J g Commingled: [XXX] I j 718" ❑ Steel&Bimetallic(Tin) Cans [F02) (2 or more recyclables collected together, fiber separate) ❑ Mixed Cans [MX2] Paper: Plastics: ❑ Paper: Cardboard [C01] ❑ Plastic: PET [PL1) ❑ Paper: Magazines& Catalogs [PA1] ❑ Plastic: HDPE [PL2] ❑ Paper: Mixed/Other(junk mail, [PA3] ❑ Plastic: PVC [PL3] paper bags, paperboard, ❑ Plastic: LDPE [PL4] etc.) ❑ Plastic: PP [PL5] ❑ Paper: Newsprint [PA2] ❑ Paper: Office Paper(all grades) [PA4] ❑ Plastic: PS [PL8J c] Paper: Phone Books [PA6] ❑ Plastic: Film [PL8] ❑ Plastic: Mixed [PL7] Glass Bottles and Jars: ❑ Plastic: Other [PL9] ❑ Glass: Brown [GL4] Organics: ❑ Glass: Clear [GL1] ❑ Glass: Green [GL3] ❑ Food Waste [FW1] ❑ Glass: Mixed [GL2] ❑ Wood Waste [WW1] ❑ Yard and Leaf Waste [Y01] ❑ Glass: Other [GL6] *Report only 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 not be reported on this form. **Processing residue: Material that is collected and weighed with recyclables, but is disposed rather than recycled. 1 of 2 4500-FM-SW0011 Rev.1212008 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). Conversion Chart Other Materials Recycled Code (tons)t Antifreeze: 7.2 lbs per gallon ❑ Drum: Fiber DR3 Battery—Lead Acid: Car= 17.8 lbs ❑Aluminum Scrap AA2 Truck=48.7 lbs ❑ Brass NO3 Motorcycle=8.7 lbs ❑ Copper NO2 Rubber Tires: Car=2.1 lbs ❑Ferrous Metals F01 Truck=70 lbs ❑ Non-Ferrous Metals NO1 Used Oil: 7.2 lbs per gallon ❑ Lead N04 Oil Filters: 1.2 lbs each ❑ Nickel N10 Glass—Whole Bottle: 1 ton=2 yds3 ❑ Stainless Steel N05 Newsprint—Loose: 1 ton=3 yds3 ❑White Goods F03 ❑ Drum: Steel DR2 Corrugated Cardboard: 2.5'x 4'x 5'bale= 1100 lbs ❑Wire/Cable W01 Plastic Soda Bottles ❑ Mixed Metals MM1 Whole, Loose: 30 lbs= 1 yd3 ❑ Glass: Plate GL5 Plastic Film: 2.5'x 4'x 5'bale= 1500 lbs ❑ Drum: Plastic DR1 Solid&Liquid Fats: 55 gallon drum =412 lbs ❑Asphalt ASP White Goods ❑ Clothing &Textiles M03 Freezers: 1 =250 lbs ❑Construction & Refrigerators: 1 =250 lbs Demolition M02 Other Appliances: 1 = 150 lbs ❑ Furniture& Furnishings M04 Yard Waste ❑ Mattresses MT1 Leaves: 4 yd3= 1 ton ❑ Rubber Tires M01 Grass Clippings: 2 yd3= 1 ton ❑ Miscellaneous/Other MIS Wood Chips: 1 yd3=500 lbs Items Other,Please list below: Household Hazardous Code SUBMIT REPORT Waste ❑Antifreeze 002 TO MUNICIPALITY ❑ Batteries: Lead Acid B01 ❑ Batteries:Other B02 BY FEB ,'1 ° ❑ Catalytic Converters, ��rh Radiators vo1 Your accurate and timely ❑Computer Systems CB1 reporting enables the County and ❑ Consumer Electronics CR1 the State to determine an ❑Fluorescent TubesICFL's FL1 accurate recycling rate and ❑Oil Filters OL3 showcase the importance and ❑ Other HHW viability of the recycling industry. (paints,varnish,pesticides,etc.) ❑ Used Oil OL2 I certify, to the best of my knowledge, that the information on this form is complete and accurate. I further authorize the Municipality to aggregate this report for DEP reporting purposes. If a legible weight ticket is ached, this report may also b- used for DEP grant purposes. � ' �� + T / \. m o-lyi �flrrj i, C _ 07-7 Authorized presentative 1�` Sign ur tip-te TArn er (Y\. Ober (1 �� 2 of 2 ° ki.,,,,t.,,,,e,":7 4500-FM-SW0011 Rev.1212008 COMMONWEALTH OF PENNSYLVANIA For the period: DEPARTMENT OF ENVIRONMENTAL PROTECTION January 1,20// to December 31,20 L �� pennsylvania BUREAU OF WASTE MANAGEMENT h(PAIl 1o11"I'"FNWN"Nn"NfM1I PMII(:OUI" ANNUAL RECYCLING REPORT Due: Feb.1 of the following year For Commercial, Municipal, Institutional Facilities To: Municipality where recyclables were generated County Name: Franklin Municipality Name: Letterkenny Township Name of Establishment: Letterkenny Township Address: 4924 Orrstown Road City: Orrstown Zip Code: 17244 Email: letterkenny@embargmail.com Telephone: 717-532-8716 Fax: 717_532-7134 Primary Business Function: municipality How does your establishment handle recyclable materials? ❑Source-separated ❑ Commingled ❑Single Stream How are your recyclable materials collected? ❑Collected by recycling facility or broker(name): ❑Collected by private hauler(name): ❑Collected by confidential document destruction company(name): ®Establishment delivers materials to drop-off facility(location): Washington Twp Transfer St. & F7 RPrycling 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. ® Establishment delivers materials to recycling facility(name): Washington Twp Transfer Si- & R7. Reryr 1 i ng ❑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 legible weight ticket from your recycler. 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 Type Weight Material Type Weight a Single Stream: [SS1) 26 g3 Metal Cans and Bottles: (All recyclables, including fiber, collected together) ❑ Aluminum Cans [AA1] •Q 6 ❑ Commingled: [XXX] 3. 18 ❑ Steel& Bimetallic(Tin) Cans [F02] .65 (2 or more recyclables collected together, fiber separate) ❑ Mixed Cans [MX2] Paper: Plastics: ❑ Paper: Cardboard [C01] ❑ Plastic: PET [PL1] ❑ Paper: Magazines&Catalogs [PA1] ❑ Plastic: HDPE [PL2] ❑ Paper: Mixed/Other(junk mail, [PA3] ❑ Plastic: PVC [PL3] paper bags, paperboard, ❑ Plastic: LDPE [PL4] etc.) ❑ Paper: Newsprint [PA2] ❑ Plastic: PP [PL5] ❑ Paper: Office Paper(all grades) [PA4] ❑ Plastic: PS [PL ❑ Paper: Phone Books [PA6] ❑ Plastic: Film [PL8] [PL6] ❑ Plastic: Mixed [PL7] Glass Bottles and Jars: • ❑ Plastic: Other [PL9] ❑ Glass: Brown [GL4] Organics: ❑ Glass: Clear [GL1] ❑ Glass: Green [GL3] ❑ Food Waste [FW1] CI Glass: Mixed [GL2] ❑ Wood Waste [WW1] CI Glass: Other [GL6] ❑ Yard and Leaf Waste [Y01] *Report only 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 not be reported on this form. **Processing residue: Material that is collected and weighed with recyclables, but is disposed rather than recycled. 1 of 2 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). Conversion Chart Weight Other Materials Recycled Code (tons) Antifreeze: 7.2 lbs per gallon ❑ Drum: Fiber DR3 Battery—Lead Acid: Car= 17.8 lbs ❑Aluminum Scrap AA2 Truck=48.7 lbs ❑ Brass NO3 Motorcycle=8.7 lbs ❑ Copper NO2 Rubber Tires: Car=21 lbs ❑ Ferrous Metals F01 Truck=70 lbs ❑ Non-Ferrous Metals NO1 Used Oil: 7.2 lbs per gallon ❑ Lead N04 Oil Filters: 1.2 lbs each ❑ Nickel N10 Glass—Whole Bottle: 1 ton=2 yds3 Cl Stainless Steel N05 Newsprint—Loose: 1 ton=3 yds3 ❑White Goods _ F03 __ _ ❑Drum: Steel �DR2� Corrugated Cardboard: 2.5'x 4'x 5' bale= 1100 lbs ❑Wire/Cable Wo1 Plastic Soda Bottles ❑ Mixed Metals MM1 7.83 Whole, Loose: 30 lbs= 1 yd3 CI Plate GL5 Plastic Film: 2.5'x 4'x 5' bale= 1500 lbs ❑ Drum: Plastic DR1 Solid&Liquid Fats: 55 gallon drum =412 lbs ❑Asphalt ASP White Goods ❑ Clothing &Textiles M03 Freezers: 1 =250 lbs ❑ Construction & Refrigerators: 1 =250 lbs M02 Demolition Other Appliances: 1 = 150 lbs ❑ Furniture& Furnishings M04 Yard Waste ❑ Mattresses MT1 Leaves: 4 yd3= 1 ton ❑ Rubber Tires MO1 3.22 Grass Clippings: 2 yd3= 1 ton ❑ Miscellaneous/Other MIS Wood Chips: 1 yd3=500 lbs Items Other,Please list below: Household Hazardous SUBMIT REPORT Waste Code El Antifreeze 002 TO MUNICIPALITY ❑ Batteries: Lead Acid B01 ❑ Batteries: Other B02 BY FEB ,' o' ❑Catalytic Converters, �O rh Radiators Vol Your accurate and timely ❑Computer Systems CB1 reporting enables the County and ❑ Consumer Electronics CR1 the State to determine an [' Fluorescent Tubes/CFL's FL1 accurate recycling rate and ❑Oil Filters OL3 showcase the importance and ❑ Other HHW viability of the recycling industry. (paints,varnish,pesticides,etc.) ❑ Used Oil OL2 I certify, to the best of my knowledge, that the information on this form is complete and accurate. 1 further authorize the Municipality to aggregate this report for DEP reporting purposes. If a legible weight ticket is attached, this report may also be used for DEP grant purposes. �oa,O.` �Y, ,cE d.z,T <�-�---�- -- fit" uthorized Represe tative Title Signature D e 2 of 2 4 500-FB 6-SW0Ci 2 Rev.t 2I20003 t'� C®f= MONWEALTH OF PENNSYLVANIA For the period: r, ,L,-,[1ns Lv.,nrr DEPARTMENT OF ENVIRONMENTAL PROTECTBON January ,20// e J BUREAU OF WASTE E�LANAGEB DEBT rY // to December 31,20 I/ DEPARTMENT OF ENVIRONMENTAL PROTECTION ANNUAL RECYCLING REPORT Due: Feb. 1 of the following year For Transporters and Other Collection Companies To: f u yclablIiity whore recclaibies were generated Collector Name: Park ' s Garbage Service, Inc . Address: PO Box 218 Cat`:M o u n t Union Zip Code:17066 Email: shannon@parksgarbage . com , Telephone:814-542-4751 Fax:814-542-4851 Please complete one form for each municipality where you collected recyclable_. Municipality: , r/ ,, J County: trAi)4L11 fi 1. CHECK the box in front o each p st-consumer* material that you collected for recycling from the municipality above. 2. ENTER the weight(in tons) of material recycled in the correct column. Subtract processing residue.** Commercial/ Residential Institutional Drop-off Name of Processing Material Type Tons*** Tons Tons Facility or Marke Single Stream: [SS1] w•)v.Pi; �,[r -) J.� Commingled: [ L (42410 (ALL Vbi k __, Note: If you use a commingled or single stream collection system, check the boxes below for each material in the mix. Paper: l ® Paper: Cardboard [C01] Paper: Magazines &Catalogs [PA1] 7-77 ® Paper: Mixed/other esc 2 Wei-e_ — Clunk mail, paper bags,paperboard,etc.) [PA3] ® Paper: Newspaper [PA2] T'"�y``.4.1 '"� — - ® Paper: Office Paper(all grades) [PA4] Taws.c A,p ® Paper: Phone Books [PA6] �``°e`� — J Glass Bottles and Jars: ® Glass: Brown [GL4] JoaN'-4., — ® Glass: Clear [GL1] E Glass: Green [GL31 - ❑ Glass: Mixed [GL2] ❑ Glass: Other [GL6] Metal Cans and Bottles: ®Aluminum Cans [AA1] ® Steel & Bimetallic(Tin) Cans [F02] [I Mixed Cans [MX21 - Plastics: _ - [x] Plastic: PET [PL1] _ ❑ Plastic: HDPE [PL2] - -- ❑ Plastic: PVC [PL31_ _ ❑ Plastic: LDPE [PL4] ❑ Plastic: PP [PL51 ❑ Plastic: PS [PL6] ❑ Plastic: Film [PL8] ❑ Plastic: Mixed [PL7] ❑ Plastic: Other [PL9] Organics: ❑ Food Waste [F01] ❑Wood Waste [WW1] ❑ Yard and Leaf Waste [Y01] *Report only 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 not be reported on this form. **Processing residue: Material that is collected and weighed with recyclables, but is disposed rather than recycled. ***Residential tons: Residential tons includes recyclables from condominiums, apartment complexes and townhouses. 1 of 2 02/06/21012 12: 02 717 7619476 CH DISPATCH PAGE kit!0 45D0-FM-SW0692 R,ev.12J2Qa9 cp.,,,Form COMMONWEALTH OF PENNSYLVANIA• For the period; f�i>lnsyLV�tll DEPARTMENT OF ENVIRONMENTAL PROTECTION January 1,20)l to December 31,20fl BUREAU OF WASTE(NANAGEMEN7 adDEPNrMENT OF ENwrturvMCP1TALMOTEnON ANNUAL.RECYCLING REPORT Due: Feb.1 of the followhg year To lvlunicipality where For Transporters and Other Collection Companies recyclables were eneraled Collector Name: akA.- 1.7ckfrow,, ^• % Mc, , Address: -xk - I 0.1x! ' � 1 City: ..�ri 6 �.+7/' zip code, riot / Email: ,y 4L[ j *At Telephones{ _ 1p_ • Fax: -j 7 ?lease complete one form for each municipality where you collected recyclables, , Munieipaiity; county: 1 8 in • 1, CHECK the box in front of each post sumer*material that you collected for recycling from the municipality above. 2. ENTER the weight(in tons)of material recycled In the correct column. §,ubtract orocesei, residue.** Commercial?a i Residential Institutional Drop-off , Name of Processing , Recyclable Ma terial Type Tons*" Tons Tons Facility or Market LSS11 _. __ ,_ _� •_ +— Comrnin•led: XXX Note: if you use a commin•led or sin.lc stream collection s stem,check the boxes below for each material In the mix. ' Paper: _ . .. ❑Paper: Cardboard C01 . 0 Paper. Magazines&Catalogs PA1 — _ _ ....... ❑Paper: Mixed/other (junk mail, paper bags,paperboard, (PA3) etc.) .__ a Pa er: tdews p er PA2 Paper Office Paper(all grades) PA4 J Q Paper: Phone Soaks PAB .. __^ Glass Bottles and Jars: _ — El Glass: Browr iiirffl —T, — ❑ Class; Clear _GL1 _„ ❑Class: Green ---- GL3 _ F3 Glass: Mixed GL2 • Glass: Other GL6 i • Metal Cans and Bottles: _ __T__ II Aluminum Cans Ml • Steel & Bimetallic in Cans F02 __ . .. ❑Mixed Cans MX2 - y Plastics: r �]Plastic: PET PL1 ... _ . ❑Plastic: HDPE P12 - ❑ Plastic. PVC [PL3 = _- Tr ❑ Plastic: LOPE PL4 ❑ Plastic: PP [PL5j .. ❑ Plastic: PS ... [PL61 ❑ Plastic: Film 'LB — — ❑ Plastic: Mixed �, [PL7L ❑Plastic: Other - „_ [PL9�_ _ __._....J Organics: _-----, ._._ .. ( Food Waste [F01]_ []Wood W Waste .� (WW1] �.._ ❑Yard and Leaf Waste [Y011 *Re ort anlY post-consur r._materials an 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 inat be reported on this form. "Processing residue: Material that is collected and weighed with recyclabies, but Is disposed rather than recycled, ""*Residential tons: Residential tans includes recyclables from condominiums,apartment complexes and townhouses. -3- . fit, 4 4,k„,„, 4500-FM-SW0011 Rev.1212008 COMMONWEALTH OF PENNSYLVANIA For the period: DEPARTMENT OF ENVIRONMENTAL PROTECTION R� pennsylvania BUREAU OF WASTE MANAGEMENT January 1,20 to December 31,20_id �� 111 NAIIt NI NI OI'fNVIf10NN1lNi�l PI:IIIf.CTIUN ANNUAL RECYCLING REPORT Due: Feb.1 of the following year For Commercial, Municipal, Institutional Facilities To: Municipality where recyclables were generated County Name: 1 r0-4(.1` Municipality Name: Pe t C r3 T w p. Name of Establishment: Pe fc,r 5i rv\inc„h Address: 5000 5+c0e, Ave . ED.gc_x czq bity: t_ern an,I'ers Zip Code: 1 7281 Email: pe tr r51'©ovn t.c,rncci 1.n g J Telephone: 717 gig ' . Z Fax: 717 -3 -9 ) Primary Business Function: Ze,c) L 4Gss T (-. ,, + . .1 L V Z rr�.rnen_t N Ll n i c 1 iihi i How does your establishment handle recyclable materials? ❑Source-separated (�Commingled ❑Single Stream How are your recyclable materials collected? ❑Collected by recycling facility or broker(name): ❑Collected by private hauler(name): ❑Collected by confidential document destruction company(name): E [ p' Jt delivers materials to drop-off facility(location): +v.j p Rir.s.'r)en 1-s b,-1 r�3 to Pe.tc.rs T vrv. Wulf. 8)dtq. If any of t 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.'Li-.ThaY,ns rec_;l d rrj p■'co.ccl .:p Establishment delivers materials to recycling facility (name): Vrl:'ke MCtnu jerncni--p,.ck.44p fru'Aer Co{i..:.r'rid etrcil w terns • Other(please specify): ei-cr5 Twp. tdkc. n,tej. t-e Chur,nib..rshur3 iv ci-Ac Pepr;r + a it.cuj fGrrner takes 1. CHECK the box in front of each post-consumer*material that your establishment recycled. !leW5030Cr. 2. If your establishment marketed your own recyclables, enter the weight in tons and attach a legible weight ticket from your recycler. 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 Type Weight Material Type Weight ❑ Single Stream: [SS1] Metal Cans and Bottles: (All recyclables, including fiber, collected together) ❑ Aluminum Cans [AA1] VI Commingled: [XXX] 2S'.I y 7 ❑ Steel& Bimetallic(Tin) Cans [F02] (2 or more recyclables collected together, fiber separate) ❑ Mixed Cans [MX2] Paper: Plastics: ❑ Paper: Cardboard [C01] ❑ Plastic: PET [PL1] Paper: Magazines& Catalogs [PA1] •7..2'i 1 ❑ Plastic: HDPE [PL2] ❑ Paper: Mixed/Other(junk mail, [PA3] ❑ Plastic: PVC [PL3] paper bags, paperboard, ❑ Plastic: LDPE [PL4] etc.) [A Paper: Newsprint [PA2] i Z'T ❑ Plastic: PP [PL6] ❑ Paper: Office Paper(all grades) [PA4] ❑ Plastic: PS [PL ] ❑ Paper: Phone Books [PA6] ❑ Plastic: Film [PL8] ❑ Plastic: Mixed [PL7] Glass Bottles and Jars: ❑ Plastic: Other [PL9] ❑ Glass: Brown [GL4] Organics: ❑ Glass: Clear [GL1] ❑ Food Waste [FW1] ❑ Glass: Green [GL3] ❑ Wood Waste [WW1] ❑ Glass: Mixed [GL2] ❑ Yard and Leaf Waste [Y01) ❑ Glass: Other [GL6] *Report only 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 not be reported on this form. **Processing residue: Material that is collected and weighed with recyclables, but is disposed rather than recycled. 1 of 2 4500-FM-SW0011 Roy.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). . Conversion Chart Weight Other Materials Recycled Code (tons) Antifreeze: 7.2 lbs per gallon ❑ Drum: Fiber DR3 Battery-Lead Acid: Car= 17.8 lbs ❑Aluminum Scrap AA2 Truck=48.7 lbs ❑ Brass NO3 Motorcycle=8.7 lbs ❑Copper NO2 Rubber Tires: Car=21 lbs ❑ Ferrous Metals F01 Truck= 70 fbs ❑ Non-Ferrous Metals NO1 Used Oil: 7.2 lbs per gallon ❑ Lead N04 Oil Filters: 1.2 lbs each ❑ Nickel N10 Glass-Whole Bottle: 1 ton=2 yds3 ❑ Stainless Steel N05 Newsprint-Loose: 1 ton=3 yds3 ❑ White Goods F03 El Steel DR2 Corrugated Cardboard: 2.5'x 4'x 5'bale= 1100 lbs ❑Wire/Cable W01 Plastic Soda Bottles ❑ Mixed Metals MM1 Whole, Loose: 30 lbs= 1 yd3 ❑ Glass: Plate GL5 Plastic Film: 2.5' x 4'x 5' bale= 1500 lbs ❑ Drum: Plastic DR1 Solid&Liquid Fats: 55 gallon drum =412 lbs ❑Asphalt ASP White Goods ❑ Clothing &Textiles M03 Freezers: 1 =250 lbs ❑ Construction & Refrigerators: 1 =250 lbs M02 Demolition Other Appliances: 1 = 150 lbs ❑ Furniture& Furnishings M04 Yard Waste ❑ Mattresses MT1 Leaves: 4 yd3= 1 ton ❑ Rubber Tires MO1 Grass Clippings: 2 yd3= 1 ton ❑ Miscellaneous/Other MIS Wood Chips: 1 yd3=500 lbs Items Other,Please list below: Household Hazardous Code SUBMIT REPORT Waste ❑Antifreeze 002 TO MUNICIPALITY ❑ Batteries: Lead Acid B01 ❑ Batteries: Other B02 BY FEB Vrii ❑ Catalytic Converters, V01 A. Radiators Your accurate and timely ❑Computer Systems CB1 reporting enables the County and ❑ Consumer Electronics CR1 the State to determine an ❑ Fluorescent Tubes/CFL's FL1 accurate recycling rate and ❑Oil Filters OL3 showcase the importance and ❑ Other HHW viability of the recycling industry. (paints,varnish,pesticides,etc.) ❑ Used Oil OL2 ' I certify, to the best of my knowledge, that the information on this form is complete and accurate. I further authorize the Municipality to aggregate this report for DEP reporting purposes. If a legible weight ticket is attached, this report may also be used for DEP grant purposes. 1 ,J Ro t_,r Y1i_ Pr i c,Z vf'_:_re,tGlr ri-eaA:.�as-er V- • RAM, 1�1�� i.2 At horized Representative ignature Dat 2 of 2 h k a4 4500-FMSW0011 Rev.1212009 COMMONWEALTH OF PENNSYLVANIA For the period: Form DEPARTMENT OF ENVIRONMENTAL PROTECTION January 1,2011 to December 31,2011 BUREAU OF WASTE MANAGEMENT pennsylvania e: Feb.1 of the following year DEPARTMENT OF ENVIRONMENTAL PROTECTION ANNUAL RECYCLING REPORT Due: Municipality where For Commercial, Municipal, Institutional Facilities recyclables were generated County Name: Franklin Municipality Name: Washington Township Name of Establishment: Washington Township Supervisors Address: 13013 Welty Road City: Waynesboro, PA Zip Code: 17268 Email: mac©washtwp-franklin.org Telephone: 717-762-3128 Fax: 717-762-1775 Primary Business Function: Municipal Government How does your establishment handle recyclable materials? ❑Source-separated ❑Commingled ❑ Single Stream How are your recyclable materials collected? ❑Collected by recycling facility or broker(name): ❑ Collected by private hauler(name): ❑Collected by confidential document destruction company(name): ❑ Establishment delivers materials to drop-off or curbside program(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. ❑ Establishment delivers materials to recycling facility(name): ® Other(please specify): Washington Township operates a transfer station and recycle center drop-off facility. 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 legible weight 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 Type Weight ® Single Stream: [SS1] 228.7 Material Type Weight (All recyclables, including fiber, collected together) Metal Cans and Bottles: ® Commingled: [XXX] 57.9 ® Aluminum Cans [Ml] 45.7 (2 or more recyclables collected together,fiber separate) ® Steel &Bimetallic(Tin)Cans [F021 70.4 Paper: ❑ Mixed Cans [MX2] ® Paper: Cardboard [C01] 1464.3 Plastics: ❑ Paper: Magazines&Catalogs [PA1] ® Plastic: PET [PLI] 78.0 • Paper: Mixed/Other(junk mail, [PA3] 671.0 Plastic: HDPE [PL2] 88.8 paper bags, paperboard, ❑ Plastic: PVC [PL3] etc.) ❑ Plastic: LDPE [PL4] ® Paper: Newsprint [PA2] 245.4 ❑ Plastic: PP [PL5] ® Paper: Office Paper(all grades) [PA4] 244 ❑ Plastic: PS [PL6] ❑ Paper: Phone Books [PA6] ❑ Plastic: Film [PL8] Glass Bottles and Jars: ® Plastic: Mixed [PL7] 3.1 ® Glass: Brown [GL4] 338.7 ® Plastic: Other [PL9] 26.5 ® Glass: Clear [GL1] 188.6 Organics: ® Glass: Green [GL3] 120.3 ® Food Waste [FW1] 7.2 ® Glass: Mixed [GL2] 277.4 ® Wood Waste [WW1] 11.1 ❑ Glass: Other [GL6] ® Yard and Leaf Waste [Y01] 586.1 *Report only 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 not be reported on this form. **Processing residue: Material that is collected and weighed with recyciables, but is disposed rather than recycled. -3- bhi ell.— 4500-FM-SW0011 Rov.12(2008 COMMONWEALTH OF PENNSYLVANIA For the period: DEPARTMENT OF ENVIRONMENTAL PROTECTION January 1,2011_to December 31,20].j �� pennsylvania BUREAU OF WASTE MANAGEMENT nn�ni�iai Hi nr Fnwr+neru:erm rrun:irmn ANNUAL RECYCLING REPORT Due: Feb.1 of the following year To: Municipality where For Commercial, Municipal, Institutional Facilities recyclables were generated County Name: Franklin Municipality Name: Quincy Township _ Name of Establishment:Quincy Township Board of Supervisors Address: 7575 Mentzer Gap Road City:Waynesboro Zip Code: 17268 Email: info @quincytwp.org Telephone:717_762_5679 Fax:717-762-3140 Primary Business Function: Governmental Municipality How does your establishment handle recyclable materials? IJ Source-separated 50 Commingled k]Single Stream How are your recyclable materials collected? ❑Collected by recycling facility or broker(name): ❑Collected by private hauler(name):P��ark''s Ga ba•e - ' - . . - u. e. :-„- . • ' Refuse ❑Collected by confidential document destructcion comp y annm):� oppers ❑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. ❑Establishment delivers materials to recycling facility (name): ❑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 legible weight ticket from your recycler. 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 Type Weight Material Type Weight I Single Stream: [SS1] 79_01 Metal Cans and Bottles: (All recyclables, including fiber, collected together) ® Aluminum Cans [AA1] 25 ad Commingled: [XXX] 18.69 . ® Steel& Bimetallic(Tin) Cans [F02] (2 or more recyclables collected together, fiber separate) ❑ Mixed Cans [MX2] Paper: Plastics: © Paper: Cardboard [C01] 1 1 _37 ® Plastic: PET [PL1] [ J Paper: Magazines& Catalogs [PA1] ❑ Plastic: HDPE [PL2] IMI Paper: Mixed/Other(junk mail, [PA3] ❑ Plastic: PVC [PL3] paper bags, paperboard, ❑ Plastic: LDPE [PL4] etc.) © Paper: Newsprint [PA2] El Plastic: PP [PL5] ❑ Plastic: PS [PL6] ® Paper: Office Paper(all grades) [PA4] ❑ Plastic: Film [PL8] 0 Paper: Phone Books [PA6] ❑ Plastic: Mixed [PL7] Glass Bottles and Jars: • ❑ Plastic: Other [PL9] © Glass: Brown [GL4] Organics: ® Glass: Clear [GL1] ❑ Food Waste [FW1] © Glass: Green [GL3] ❑ Wood Waste [WW1] • Glass: Mixed [GL2] ❑ Yard and Leaf Waste [Y01] ❑ Glass: Other [GL6] *Report only 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 not be reported on this form. . **Processing residue: Material that is collected and weighed with recyclables, but is disposed rather than recycled. 1 of 2 4500-FM-SW0011 Roy.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). . Conversion Chart Weight Other Materials Recycled Code (tons) Antifreeze: 7.2 lbs per gallon ❑ Drum: Fiber DR3 Battery—Lead Acid: Car= 17.8 lbs ❑Aluminum Scrap AA2 Truck=48.7 lbs ❑ Brass NO3 Motorcycle=8.7 lbs ❑Copper NO2 Rubber Tires: Car=21 lbs ❑Ferrous Metals F01 Truck=70 lbs ❑ Non-Ferrous Metals NO1 Used Oil: 7.2 lbs per gallon ❑ Lead N04 Oil Filters: 1.2 lbs each ❑Nickel N10 Glass—Whole Bottle: 1 ton=2 yds3 ❑Stainless Steel N05 Newsprint—Loose: 1 ton=3 yds3 ❑White Goods F03 Corrugated Cardboard: 2.5' x 4'x 5'bale=1100 lbs ❑ Drum: Steel DR2 ❑Wire/Cable W01 Plastic Soda Bottles ❑ Mixed Metals MM1 Whole, Loose: 30 lbs= 1 yd3 ❑Glass: Plate GL5 Plastic Film: 2.5' x 4'x 5'bale= 1500 lbs ❑ Drum: Plastic DR1 Solid&Liquid Fats: 55 gallon drum =412 lbs ❑Asphalt ASP White Goods ❑Clothing &Textiles M03 Freezers: 1 =250 lbs ❑ Construction & Refrigerators: 1 =250 lbs M02 Demolition Other Appliances: 1 = 150 Ibs ❑ Furniture& Furnishings M04 Yard Waste ❑ Mattresses MT1 Leaves: 4 yd3= 1 ton ❑Rubber Tires M01 Grass Clippings: 2 yd3= 1 ton ❑ Miscellaneous/Other MIS Wood Chips: 1 yd3=500 lbs Items Other,Please list below: Household Hazardous Code SUBMIT REPORT Waste ❑Antifreeze 002 TO MUNICIPALITY ❑Batteries: Lead Acid B01 BY FEB ❑ Batteries:Other B02Qyh ❑ Catalytic Converters, O Radiators V01 Your accurate and timely ❑Computer Systems CB1 reporting enables the County and ❑ Consumer Electronics CR1 the State to determine an ❑ Fluorescent Tubes/CFL's FL1 accurate recycling rate and ❑Oil Filters OL3 showcase the importance and ❑ Other HHW viability of the recycling industry. (paints,varnish,pesticides,etc.) ❑ Used Oil OL2 , I certify, to the best of my knowledge, that the information on this form is complete and accurate. I further authorize the Municipality to aggregate this report for DEP reporting purposes. If a legible weight ticket Is attached/ , ; d, this report may also be used for DEP grant purposes. /I(-4-1/ Nu neir k , :_-A. v. a. /l tyres'' _ 4 • ' .. o2 c� Authorized Representative W : Signature D-te 2 of 2 eitiott 0,..,..,, ,,,,. 4500-FM-SW0011 Rev.1212008 COMMONWEALTH OF PENNSYLVANIA For the period: DEPARTMENT OF ENVIRONMENTAL PROTECTION January 1,20 II to December 31,20_11 pennsylvania BUREAU OF WASTE MANAGEMENT �J 1111'.111INI NI 01 F I/111 NMI:Nf.111`R171f1T1(1N ANNUAL RECYCLING REPORT Due: Feb.1 of the following year B To: Municipality where For Commercial, Municipal, Institutional Facilities recyclables were generated County Name: Frank.(i r> Municipality Name: 6t,r0 I..QtrC 1 diftck p Name of Establishment: d oak, Address: 1115 SOriVI Valley K City: 6L.rSiu.r-5 Zip Code: 1-7 -0 --- Email: Kutrihg ci v,1kreL-4"14)p.LLS Telephone: 117- -(v-I-- (p(4 to Fax: -LP'-E-- es-0'1 Primary Business Furl'ction: I QCq_t 30.vt.en ITLP.vf How does your establishment handle recyclable materials? ❑ Source-separated ❑Commingled ❑Single Stream How are your recyclable materials collected? ❑Collected by recycling facility or broker(name): \ 'Collected by private hauler(name): 0 ) ❑Collected by confidential document destruction company(name): ❑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. ❑Establishment delivers materials to recycling facility(name): ❑Other(please specify): gjtr-1ky I'`Lm cot it C' i On �a4S 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 legible weight 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 Type Weight Material Type Weight V Single Stream: [SS1] ,234. 5.. 2.34. Metal Cans and Bottles: (All recyclables, including fiber, collected together) ticl Aluminum Cans [AA1] 1lil Commingled: [XXX] I_I 2• .n gl Steel& Bimetallic(Tin) Cans [F02] (2 or more recyclables collected together, fiber separate) Til Mixed Cans [MX2] Paper: 'p Plastics: 04 To Paper: Cardboard [C01] ,1p� IA Plastic: PET [PL1) V. Paper: Magazines&Catalogs [PA1] (' '0 I Plastic: HDPE [PL2] .I Paper: Mixed/Other(junk mail, [PA3] ❑ Plastic: PVC [PL3] paper bags, paperboard, ❑ Plastic: LDPE [PL4] etc.) ❑ Plastic: PP [PL5] t Paper: Newsprint [PA2] ❑ Plastic: PS [PL6] Paper: Office Paper(all grades) [PA4] Al g•`6g '6j! Plastic: Film [PLBJ _2254_ q litl Paper: Phone Books [PA6] ' Plastic: Mixed [PL7] S Le,• 5 Glass Bottles and Jars: ❑ Plastic: Other [PL9] [%. Glass: Brown [GL4] Organics: [1. Glass: Clear [GL1] ❑ Food Waste [FW1] VI Glass: Green [GL3] l Wood Waste [WW1] -7• 5D :: Glass: Mixed [GL2] ❑ Yard and Leaf Waste [Y01] ►! Glass: Other [GL6] *Report only 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 not be reported on this form. . **Processing residue: Material that is collected and weighed with recyclables, but is disposed rather than recycled. 1 of 2 4500-FM-SW0011 Roy.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). Conversion Chart Weight Other Materials Recycled Code (tons) Antifreeze: 7.2 lbs per gallon ❑Drum: Fiber DR3 Battery—Lead Acid: Car= 17.8 lbs ❑Aluminum Scrap AA2 Truck=48.7 lbs ❑ Brass NO3 Motorcycle=8.7 lbs ❑Copper NO2 Rubber Tires: Car=21 lbs ❑Ferrous Metals F01 Truck=70 lbs ❑ Non-Ferrous Metals NO1 Used Oil: 7.2 lbs per gallon ❑Lead N04 Oil Filters: 1.2 lbs each ❑Nickel N10 Glass—Whole Bottle: 1 ton=2 yds3 ❑Stainless Steel N05 Newsprint—Loose: 1 ton=3 yds3 ❑White Goods F03 Corrugated Cardboard: 2.5' x 4'x 5'bale=1100 lbs ❑ Drum:Steel DR2 ❑Wire/Cable W01 Plastic Soda Bottles 'Mixed Metals MM1 13,614 Whole, Loose: 30 lbs= 1 yd3 ❑ Glass: Plate GL5 Plastic Film: 2.5'x 4'x 5'bale= 1500 lbs ❑ Drum:Plastic DR1 Solid&Liquid Fats: 55 gallon drum =412 lbs ❑Asphalt ASP White Goods ❑Clothing&Textiles M03 Freezers: 1 =250 lbs ❑Construction & Refrigerators: 1 =250 lbs Demolition M02 Other Appliances: 1 = 150 lbs ❑ Furniture & Furnishings M04 Yard Waste ❑ Mattresses MT1 Leaves: 4 yd3= 1 ton ❑ Rubber Tires MO1 Grass Clippings: 2 yd3= 1 ton ❑ Miscellaneous/Other MIS Wood Chips: 1 yd3=500 lbs Items Other,Please list-F f ,-below: 4 �r ^ : w t S4,,0 Household Hazardous Code SUBMIT REPORT Waste ❑Antifreeze 002 TO MUNICIPALITY ❑Batteries: Lead Acid B01 BY FEB ❑ Batteries:Other B02 �Q j h ❑Catalytic Converters, OO Radiators Vol Your accurate and timely ❑ Computer Systems CB1 reporting enables the County and ❑ Consumer Electronics CR1 the State to determine an ❑ Fluorescent Tubes/CFL's FL1 accurate recycling rate and ❑Oil Filters OL3 showcase the importance and ❑Other HHW viability of the recycling industry. (paints,varnish,pesticides,etc.) ❑ Used Oil OL2 I certify, to the best of my knowledge, that the information on this form Is complete and accurate. I further authorize the Municipality to aggregate this report for DEP reporting purposes. if a legible weight ticket Is attached, this report may also be used for DEP grant purposes. CLrmirt >(den Ste-l-v . Ticias. a -4-6 &___ ,_ �a--la- . Authorized Representative Title Signatu re Date 2 of 2 FEB/21/2012/TUE 10: 11 AM GREENCASTLE BOROUGH FAX No. 717-597-1734 P. 002 ofe 4500-FMSW0011 Rev.12/2009 COMMONWEALTH OF PENNSYLVANIA For the period: Form DEPARTMENT OF ENVIRONMENTAL PROTECTION January 1,2011 to December 31,2011 BUREAU OF WASTE MANAGEMENT pennsylvania Due: 1 of the following year pv p,PAnYrneNrO FRNU1RONMENTALPROTECTION ANNUAL RECYCLING REPORT To: Feb.Feb.1 of For Commercial, Municipal, Institutional Facilities recyclables were generated .County Name; Franklin _ Municipality Name: Borough of Greencastle Name of Establishment: Borough of Greencastle Address: 60 N Washington Street City: Greeencastle • Zip Code: 17225 • Email: kwomack@igreencastlepa.gov Telephone: 717-597-7143 Fax: 717-597-1734 Primary Function: Local Government; Public Water/Sewer How does your establishment handle recyclable materials? ❑Source-separated ®Commingled El Single Stream How are your recyclable materials collected? e Collected by recycling facility or broker(name): Food Lion Store#1620, Sunnywav Foods • ®Collected by private hauler(name): Waste Management, IESI, Pecks Refuse,Worthy's, Hoppers. Parks ❑Collected by confidential document destruction company(name): ❑ Establishment delivers materials to drop-off or curbside program(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. . . ,,,___„ _1E Establishment delivers materials to recy_clinAfacility(name): Newcomer's Truck Parts Inc. (collected 0 Bulky item ❑ Other(please specify): Drop-off Days for Borough Residents) 1. CHECK the box in front of each post-consumer material that your establishment recycled. -"• "-'2.--Ifyour.esttblishtn t rn keted'yourov ritecyctabiers;•entertlie`vireight rrtons and•attach`a'•lieslible wietslhtrticket'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 Type •Weight ® Single Stream: ' [SS1] 89.65 Material Type Weight (All recyclables, including fiber, collected together) Metal Cans and Bottles: ® Commingled: [XXX] 92.70 ❑ Aluminum Cans [AA1] (2 or more recyclables collected together,fiber separate) ❑ Steel&Bimetallic(Tin) Cans [F02] • Paper: ❑ Mixed Cans [MX2] ® Paper: Cardboard [C011 321.92 Plastics: ❑...Paper: .Magazines&Catalogs [PA1] .... .., .❑ plastic: PET [PL1] Plastic: HDPE • ❑ Paper: Mixed/Other(junk mail, [PA3] [PLZI paper bags. paperboard, ❑ Plastic: PVC [PL3] etc.) ❑ Plastic: LDPE [PL4] ❑ Paper. Newsprint [PA2] ❑ Plastic: PP [PL5] ❑ Paper: Office Paper(all grades) [PA4] ❑ Plastic: PS [PLO] ❑ Paper: Phone Books [PA6] ❑ Plastic: Film [PL8] Glass Bottles and Jars: 0 Plastic: Mixed [PL7] 2.65 ❑ Glass: Brown [GL4] El Plastic: Other [PL9] j ❑ Glass: Clear [GL1] Organics: • ❑ Glass: Green [GL3] El Food Waste [FW1] O Glass: Mixed [GL2] ❑' Wood Waste [WW1] ❑ Glass: Other . [GL6] 0 Yard and Leaf Waste [Y01] "Report only 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 not be reported on this form. * Processing residue: Material that is collected and weighed with recyclables, but is disposed rather than recycled_ -3- I FEB/21/2012/TUE 10: 11 AM GREENCASTLE BOROUGH FAX No, 717-597-1734 P, 003 4500-FM•SW0011 Rev.12/2009 Form • • 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). . Weight Conversion Chart Other Materials Recycled Code (tons) Antifreeze: 7.2 lbs per gallon • ❑Drum: Fiber DR3 Battery—Lead Acid: Car= 17.8 lbs ®Aluminum Scrap AA2 _10 _ .. Truck=48.7 lbs.. . • Brass NO3 .19 Motorcycle=8.7 lbs • 0-Copper NO2 Rubber Tires: Car=21 lbs ❑Ferrous Metals F01 Truck=70 lbs ❑Non-Ferrous Metals Not Used OII: 7.2 lbs per gallon • ❑ Lead N04 . Oil Filters: . 1.2 lbs each ❑Nickel N10 Glass—Whole Bottle: .1 ton =2 yds3 ❑Stainless Steel 'NO5 ❑White Goods F03 - Newsprint—Loose: 1 ton=3 yds3 • ❑ Drum: Steel DR2 Corrugated Cardboard: 2.5'x 4'x 5' bale= 1100 lbs • Wire/Cable W01 Plastic Soda Bottles .. ® Mixed Metals MM1 8.45 Whole,Loose: 30 lbs= 1 yd3 • ❑Glass: Plate GL5 Plastic Film: 2.5'x 4'x 5'bale=1500 lbs ❑Drum: Plastic DR1 .Solid&Llquld.Fats: 55 gallon drum=412 lbs. iii-7 4s75halt"....._..._._.,.,.....�.._...�.....A.SP..... ... _. _. • Clothing&Textiles M03 White Goods ❑Construction & Freezers: • ' 1 =250 lbs . . __ M02,.•,., •,_. ...... Refrigerators:tors: 1 =250lbs . --t7emolition'._. .....:..._._.. ...__.. Other 'pplianoes:-:.:.-'N7150161 --- --:. .._ ---. ....._... ._. ' ❑ Furniture&Furnishings • M04 Yard Waste ❑Mattresses MT1 Leaves: 4 yd3=1 ton ®Rubber Tires MO1 .18 • Grass ClippIngs:, 2 yda= 1 ton ❑Miscellaneous/Other MIS 'Wood Chips: . 1 yds=500 Ibs • Items - i Other,Please list below: .•. Household Waste SUBMIT REPORT • ❑Antifreeze 002 TO MUNICIPALITY _ . .0 Batteries:.Lead Acid . .. .B01.. . .10. . . . .. . .. .. I ❑Batteries: Other B02 BY FEB 1st! ❑Catalytic Converters, V01 Radiators Your accurate and timely El Computer Systems CB1 reporting enables the County and ❑Consumer Electronics CR1 the State to determine an ❑ Fluorescent Tubes/CFL's FL1 accurate recycling rate and ❑Oil Filters OL3 showcase the importance and ❑Other ' HHW viability of the recycling industry. (paints,varnish,pesticides,etc.) • , ❑Used Oil. 01- _.2 _ • • I certify, to the best of my knowledge, that the information on this form is complete and accurate. 1 further authorize the Municipality to aggregate this report for DEP reporting purpos . If a legible weight ticket is attached, this report may also be used for DEP grant purposes, e.vaerof td. aormoteg 4&t!Oc /17,rr✓Aj d/.t/s/Ie. Authorized Representative Title Signature Date -4- • ""2(/i 4500-FM-SW0011 Rev.1212008 COMMONWEALTH OF PENNSYLVANIA For the period: DEPARTMENT OF ENVIRONMENTAL PROTECTION BUREAU OF WASTE MANAGEMENT January 1,20 If to December 31,20« Y / pennsylvania(11 MI MI NI OT t NVIHONNCNTAI PROT f.MIN ANNUAL RECYCLING REPORT Due: Feb. 1 of the following year To: Municipality where For Commercial, Municipal, Institutional Facilities recyclables were generated County Name: Ficivklb.., Municipality Name: Lii4,fQ/e.She c,./ Name of Establishment: 8 a�.�u5.4 „ t f,/IV vJ5/Lr_ Address: 5 ? _/71,j, Si1A- q1 City: y vY !e .i Zip Code!7:G y" Email: /h yd ta ,✓eSz ttYag- ow Telephone: ?62—.2.tr l Fax: Y _.1.907 Primary Business Function: pi g Ail C,,d tl-o ' ) How does your establishment handle recyclable materials? ❑Source-separated f trmingled E ..ngle Stream How are your recyclable materials collected? ❑ Collected by recycling facility or broker(name): riGollected by private hauler(name): //g',A MMyr'7 LSL y-,¢/4ei /-f/iSi,L . ❑ Collected by confidential document destruction company (name): ❑ 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. Q'(stablishment delivers materials to recycling facility(name): ❑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 legible weight ticket from your recycler. 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 Type Weight Material Type Weight Or-Single Stream: [SS1] 40),5/ Metal Cans and Bottles: (All recyclables, including fiber, collected together) n/ Aluminum Cans [AA1] ❑ Commingled: [XXX] QS el& Bimetallic(Tin) Cans [F02] (2 or more recyclables collected together, fiber separate) Mixed Cans [MX2] Paper: Plas ics: "Paper: Cardboard [C01] 2,2_..4 P stic: PET [PL1] Er: Magazines&Catalogs [PA1] stic: HDPE [PL2] aper: Mixed/Other(junk mail, [PA3] [Plastic: PVC [PL3] paper bags, paperboard, [ Plastic: LDPE [PL4] etc.) Plastic: PP [PL5] per: Newsprint [PA2] [Plastic: PS [PL6] Office Paper(all grades) [PA4] Plastic: Film [PL8] caper: Phone Books [PA6] [2 Plastic: Mixed [PL7] Glass Bottles and Jars: E1' Plastic: Other [PL9] uG9lass: Brown [GL4] Organics: glass: Clear [GL1] ❑ Food Waste [FW1] ss: Green [GL3] ❑ Wood Waste [WW1] GI s: Mixed [GL2] ❑ Yard and Leaf Waste [Y01] lass: Other [GL6] *Report only 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 not be reported on this form. **Processing residue: Material that is collected and weighed with recyclables, but is disposed rather than recycled. 1 of 2 4500-FM-SW0011 Roy.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). Conversion Chart Weight Other Materials Recycled Code (tons) Antifreeze: 7.2 lbs per gallon ❑Drum: Fiber DR3 Battery—Lead Acid: Car= 17.8 lbs ❑Aluminum Scrap AA2 Truck=48.7 lbs ❑ Brass NO3 Motorcycle=8.7 lbs ❑Copper NO2 Rubber Tires: Car=21 lbs ❑ Ferrous Metals F01 Truck=70 lbs ❑ Non-Ferrous Metals NO1 Used Oil: 7.2 lbs per gallon ❑ Lead N04 Oil Filters: 1.2 lbs each ❑Nickel N10 Glass—Whole Bottle: 1 ton=2 yds3 ❑ Stainless Steel N05 Newsprint—Loose: 1 ton=3 yds3 ❑White Goods F03 Corrugated Cardboard: 2.5' x 4'x 5'bale=1100 lbs ❑ Drum: Steel DR2 ❑Wire/Cable W01 Plastic Soda Bottles ❑ Mixed Metals MM1 Whole, Loose: 30 lbs= 1 yd3 ❑ Glass: Plate GL5 Plastic Film: 2.5'x 4'x 5'bale= 1500 lbs ❑ Drum: Plastic DR1 Solid&Liquid Fats: 55 gallon drum =412 lbs ❑Asphalt ASP White Goods ❑ Clothing &Textiles M03 Freezers: 1 =250 lbs ❑ Construction & Refrigerators: 1 =250 lbs Demolition M02 Other Appliances: 1 = 150 lbs ❑ Furniture& Furnishings M04 Yard Waste ❑ Mattresses MT1 Leaves: 4 yd3= 1 ton ❑ Rubber Tires M01 Grass Clippings: 2 yd3= 1 ton ❑ Miscellaneous/Other MIS Wood Chips: 1 yd3=500 lbs Items Other,Please list below: Household Hazardous Code SUBMIT REPORT Waste ❑Antifreeze 002 TO MUNICIPALITY ❑ Batteries: Lead Acid B01 BY FEB ❑ Batteries: Other B02 ©�h ❑ Catalytic Converters. V01 l� Radiators Your accurate and timely ❑ Computer Systems CB1 reporting enables the County and ❑ Consumer Electronics CR1 the State to determine an ❑ Fluorescent Tubes/CFL's FL1 accurate recycling rate and ❑Oil Filters OL3 showcase the importance and ❑Other HHW viability of the recycling industry. (paints,varnish,pesticides,etc.) ❑ Used Oil OL2 I certify, to the best of my knowledge, that the information on this form is complete and accurate. I further authorize the Municipality to aggregate this report for DEP reporting purposes. If a legible weight ticket is attached, this report may also be used for DEP grant purposes.4164(Jp.i- 1--.4d C i 2 dmi-fo(--- /7,V,Z/2_____-- e''',, ': -.-- -----Z-------- f v� itle Si nature Date nzed Representative � g 2 of 2 JL 0, 11 4500-FM-SW0011 Rev.1212008 COMMONWEALTH OF PENNSYLVANIA 7 or the period: f e- DEPARTMENT OF ENVIRONMENTAL PROTECTION January 1,20 to December 31,20 lv pennsytvania BUREAU OF WASTE MANAGEMENT — — pf141I11Pll NI 01 tNVI(lONM1:N TM fRQIf.CilllN ANNUAL RECYCLING REPORT Due: Feb. 1 of the following year To: Municipality where For Commercial, Municipal, Institutional Facilities recyclables were generated County Name: Franklin Municipality Name: St Thomas Township Name of Establishment: St. Thomas Township Address: 965 Hade Road City: Chambersburg PA Zip Code: 17202 Email: stthomasstwp @comcast.net Telephone:717-369-2144 Fax: 717-369-5368 Primary Business Function: local government How does your establishment handle recyclable materials? ❑Source-separated ❑Commingled ❑Single Stream How are your recyclable materials collected? ❑Collected by recycling facility or broker(name): 3(Collected by private hauler(name): IESI ,Waste Management,Worthy's Refuse Inc. & ❑Collected by confidential document destruction company (name): Parks Garabage Services ❑ 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. ❑ Establishment delivers materials to recycling facility(name): ❑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 legible weight ticket from your recycler. 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 Type Weight Material Type Weight ❑ Single Stream: [SS1] Metal Cans and Bottles: (All recyclables, including fiber, collected together) ❑ Aluminum Cans [AA1] ❑ Commingled: [XXX] ❑ Steel& Bimetallic(Tin) Cans [F02] (2 or more recyclables collected together, fiber separate) ❑ Mixed Cans [MX2] Paper: Plastics: ❑ Paper: Cardboard [Col] ❑ Plastic: PET [PL1] ❑ Paper: Magazines&Catalogs [PA1] ❑ Plastic: HDPE [PL2] ❑ Paper: Mixed/Other(junk mail, [PA3] ❑ Plastic: PVC [PL3] paper bags, paperboard, ❑ Plastic: LDPE [PL4] etc.) ❑ Plastic: PP [PL5] ❑ Paper: Newsprint [PA2] ❑ Plastic: PS [PL6] ❑ Paper: Office Paper(all grades) [PA4] ❑ Plastic: Film [PL8] ❑ Paper: Phone Books [PA6] ❑ Plastic: Mixed [PL7] Glass Bottles and Jars: ❑ Plastic: Other [PL9] ❑ Glass: Brown [GL4] Organics: ❑ Glass: Clear [GL1] ❑ Food Waste [FW1] ❑ Glass: Green [GL3] ❑ Wood Waste [WW1] ❑ Glass: Mixed [GL2] ❑ Yard and Leaf Waste [Y01] ❑ Glass: Other [GL6] *Report only 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 not be reported on this form. **Processing residue: Material that is collected and weighed with recyclables, but is disposed rather than recycled. 1 of 2 4500-FM-SW0011 Roy.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). Conversion Chart Weight Other Materials Recycled Code (tons) Antifreeze: 7.2 lbs per gallon ❑ Drum: Fiber DR3 Battery—Lead Acid: Car= 17.8 lbs ❑Aluminum Scrap AA2 Truck=48.7 lbs ❑ Brass NO3 Motorcycle=8.7 lbs ❑Copper NO2 Rubber Tires: Car=2.1 lbs ❑ Ferrous Metals F01 Truck=70 lbs ❑ Non-Ferrous Metals NO1 Used Oil: 7.2 lbs per gallon ❑ Lead N04 Oil Filters: 1.2 lbs each ❑ Nickel N10 Glass—Whole Bottle: 1 ton=2 yds3 ❑Stainless Steel N05 Newsprint—Loose: 1 ton=3 yds3 ❑White Goods F03 - Corrugated Cardboard: 2.5'x 4'x 5'bale= 1100 lbs ❑Drum: Steel DR2 ❑Wire/Cable W01 Plastic Soda Bottles Mixed Metals MM1 4.44 Whole, Loose: 30 lbs= 1 yd3 ❑Glass: Plate GL5 Plastic Film: 2.5'x 4'x 5'bale = 1500 lbs ❑ Drum: Plastic DR1 Solid&Liquid Fats: 55 gallon drum =412 lbs ❑Asphalt ASP White Goods ❑ Clothing &Textiles M03 Freezers: 1 =250 lbs ❑ Construction & Refrigerators: 1 =250 lbs M02 Demolition Other Appliances: 1 = 150 lbs ❑ Furniture& Furnishings M04 Yard Waste ❑ Mattresses MT1 Leaves: 4 yd3= 1 ton ❑ Rubber Tires M01 Grass Clippings: 2 yd3= 1 ton ❑ Miscellaneous/Other MIS Wood Chips: 1 yd3=500 lbs Items Other,Please list below: Residental 39.11 �„,,...-°' Commercial 20.46 Household Hazardous Code SUBMIT REPORT Waste ❑Antifreeze 002 -'' TO MUNICIPALITY ❑ Batteries: Lead Acid B01 ❑ Batteries:Other B02 BY FEB h ❑ Catalytic Converters, V01 2fr Radiators Your accurate and timely ❑Computer Systems CB1 reporting enables the County and ❑ Consumer Electronics CR1 the State to determine an ❑ Fluorescent Tubes/CFL's FL1 accurate recycling rate and ❑Oil Filters OL3 showcase the importance and ❑Other HHW viability of the recycling industry. (paints,varnish,pesticides,etc.) ❑ Used Oil OL2 ' I certify, to the best of my knowledge, that the information on.this form is complete and accurate. I further authorize the Municipality to aggregate this report for DEP reporting purposes. If a legible weight ticket is attached, this report may also be used for DEP grant purposes. i" �i ' � Gloria E. Hartman Asst. Secretary .�C/TAG %9y11e C� 2/15/12 Authorized Representative Title Signature Date 2 of 2 o 4500•FM-SW0011 Roy.1212008 COMMONWEALTH OF PENNSYLVANIA For the period: DEPARTMENT OF ENVIRONMENTAL PROTECTION January 1,20 ii to December 31,20 jL 17-.10Y4'pennsylvania BUREAU OF WASTE MANAGEMENT 111 PARINI NI NI IrVIFONMII NMI O RCTCON ANNUAL RECYCLING REPORT Due: Feb.1 of the following year To: Municipality where For Commercial, Municipal, Institutional Facilities recyclables were generated County Name: Flan(.._1 1 rl Municipality Name: Moll ii rxiul �(�i' ip Name of Establishment: ,1 al Address: i)�tf.1 P4'-`yL.C :dd e i i p City:jny1 2c E IQ51.,t vc) Zip Code: 1--4,1,3(.., Email: ��1oftMiler\/ ILL)i cze'cf?e'1'tsa. t Jf , Telephone: 7i7-3: $'3 hi3 Fax: 7/7:..10,:: ')/ Primary Business Function: n,�j a 01 How does your establishment handle recyclable materials? ❑ Source-separated ❑Commingled 4]Single Stream How are your recyclable materials collected? ❑Collected by recycling facility or broker(name): Collected by private hauler(name): t,012‘,11), (y)(Xi)tgt/71./d/ in Un iCI Zil ❑Collected by confidential document destruction company(name): ❑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. ❑Establishment delivers materials to recycling facility (name): ❑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 legible weight 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 Type Weight" } Material Type Weight cj Single Stream: [SS1] .'J g1/tt�. "i�] Metal Cans and Bottles: (All recyclables, including fiber, collected together) ❑ Aluminum Cans [AA1] ❑ Commingled: [XXX] ❑ Steel&Bimetallic(Tin) Cans [F02] (2 or more recyclables collected together, fiber separate) ❑ Mixed Cans [MX2] Paper: Plastics: El Paper: Cardboard [C01] ❑ Plastic: PET [PL1] ❑ Paper: Magazines&Catalogs [PM] ❑ Plastic: HDPE [PL2] ❑ Paper: Mixed/Other(junk mail, [PA3] ❑ Plastic: PVC [PL3] paper bags, paperboard, ❑ Plastic: LDPE [PL4] etc.) ❑ Plastic: PP [PL5] ❑ Paper: Newsprint [PA2] ❑ Plastic: PS [PL6] ❑ Paper: Office Paper(all grades) [PA4] ❑ Plastic: Film [PL8] ❑ Paper: Phone Books [PA6] ❑ Plastic: Mixed [PL7] Glass Bottles and Jars: ❑ Plastic: Other [PL9] ❑ Glass: Brown [GL4] Organics: ❑ Glass: Clear [GU] ❑ Food Waste [FW1] ❑ Glass: Green [GL3] ❑ Wood Waste [WW1] ❑ Glass: Mixed [GL2] ❑ Yard and Leaf Waste [Y01] ❑ Glass: Other [GL6] *Report only 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 not be reported on this form. **Processing residue: Material that is collected and weighed with recyclables, but is disposed rather than recycled. 1 of 2 4500-FM-SW0011 Roy.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). Conversion Chart Weight Antifreeze: 7.2 lbs per gallon Other Materials Recycled Code (tons) ❑ Drum: Fiber DR3 Battery—Lead Acid: Car= 17.8 lbs ❑Aluminum Scrap AA2 Truck=48.7 lbs ❑ Brass NO3 Motorcycle=8.7 lbs ❑ Copper NO2 Rubber Tires: Car=21 lbs ❑ Ferrous Metals F01 Truck=70 lbs ❑ Non-Ferrous Metals NO1 Used Oil: 7,2 lbs per gallon ❑ Lead N04 Oil Filters: 1.2 lbs each ❑ Nickel N10 Glass—Whole Bottle: 1 ton=2 yds3 ❑ Stainless Steel N05 Newsprint—Loose: 1 ton=3 yds3 ❑ White Goods F03 TDrum: Steel DR2 Corrugated Cardboard: 2.5'x 4' x 5'bale= 1100 lbs ❑Wire/Cable W01 Plastic Soda Bottles ❑ Mixed Metals MM1 Whole, Loose: 30 lbs= 1 yd3 ❑ Glass: Plate GL5 Plastic Film: 2.5'x 4'x 5'bale = 1500 lbs ❑ Drum: Plastic DR1 Solid&Liquid Fats: 55 gallon drum=412 lbs ❑Asphalt ASP White Goods ❑ Clothing &Textiles M03 Freezers: 1 =250 lbs ❑ Construction & Refrigerators: 1 =250 lbs Demolition M02 Other Appliances: 1 = 150 lbs ❑ Furniture& Furnishings M04 Yard Waste ❑ Mattresses MT1 Leaves: 4 03= 1 ton ❑ Rubber Tires M01 Grass Clippings: 2 yd3= 1 ton ❑ Miscellaneous/Other MIS Wood Chips: 1 yd3=500 lbs Items Other, Please list below: Household Hazardous Code SUBMIT REPORT Waste ❑Antifreeze 002 TO MUNICIPALITY ❑Batteries: Lead Acid B01 BY FEB ❑ Batteries: Other B02 BY ❑Catalytic Converters, V01 2f ii Your accurate and timely ❑Computer Systems CB1 reporting enables the County and ❑Consumer Electronics CR1 the State to determine an ❑Fluorescent Tubes/CFL's FL1 accurate recycling rate and ❑Oil Filters OL3 showcase the importance and ❑Other HHW viability of the recycling industry. (paints,varnish,pesticides,etc.) ❑ Used Oil OL2 ' I certify, to the best of my knowledge, that the information on this form is complete and accurate. I further authorize the Municipality to aggregate this report for DEP reporting purposes. If a legible weight ticket is attached, this report may also be used for DEP ant purposes. ,�i f,t� r;�.�(A .� >ki� za�Lu- a A (6.4u>,/ J - �-��`- ``Authorized Representative itle 'Signature Date 2 of 2 )101\1°-- i 4500-FM-SW0011 Roy.1212008 COMMONWEALTH T For the period: OF ENVIRONMENTAL PROTECTION DEPARTMENT ENVIRONMENTAL January 1,201 1 to December 31,20 j '','.�// pennsytvania BUREAU OF WASTE MANAGEMENT III WWI NI of F NVINONNIIf NiM1I PRo1Ci TION ANNUAL RECYCLING REPORT Due: Feb. 1 of the following year To: Municipality where For Commercial, Municipal, Institutional Facilities recyclables were generated County Name: FRANKLIN Municipality Name: HAMILTON TOWNSHIP Name of Establishment: Address: 1270 Crottlestown Road City: Chambersburg Zip Code: 17202 Email: hamiltontwp@comcast.net Telephone: 717-264-2946 Fax: 717-264-2134 Primary Business Function: Municipal government (Second Class Township) How does your establishment handle recyclable materials? ❑Source-separated ®Commingled ®Single Stream How are your recyclable materials collected? ❑Collected by recycling facility or broker(name): [i Collected by private hauler(name): Residents' choice of independent haulers. ❑Collected by confidential document destruction company (name): ❑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. ❑Establishment delivers materials to recycling facility (name): ❑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 legible weight ticket from your recycler. 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 Type Weight Material Type Weight l Single Stream: [SS1] 89.64 Metal Cans and Bottles: (All recyclables, including fiber,collected together) ® Aluminum Cans [AA1) ® Commingled: [XXX] 50.29 [l Steel& Bimetallic(Tin) Cans [F02] (2 or more recyclables collected together, fiber separate) 13 Mixed Cans [MX2] Paper: Plastics: M Paper: Cardboard [C01] 14.56 ® Plastic: PET [PL1] ® Paper: Magazines& Catalogs [PM] Plastic: HDPE [PL2] a] Paper: Mixed/Other(junk mail, [PA3] ❑ Plastic: PVC [PL3) paper bags, paperboard, (11 Plastic: LDPE [PL4] etc.) ❑ Plastic: PP [PL5] [l Paper: Newsprint [PAZ] ❑ Plastic: PS [PL6] M Paper: Office Paper(all grades) [PA4] ❑ Plastic: Film [PL8] ] Paper: Phone Books [PA6] ❑ Plastic: Mixed [PL7] Glass Bottles and Jars: ❑ Plastic: Other [PL9] M Glass: Brown [GL4] Organics: IN Glass: Clear [GLI] ❑ Food Waste [FW1] Glass: Green [GL3] ❑ Wood Waste [WW1] ® Glass: Mixed [GL2] ❑ Yard and Leaf Waste [Y01] ® Glass: Other [GL6] *Report only 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 not be reported on this form. **Processing residue: Material that is collected and weighed with recyclables, but is disposed rather than recycled. 1 of 2 4500-FM-SW0011 Rev.1212008 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). Conversion Chart Weight Antifreeze: 7.2 lbs per gallon Other Materials Recycled Code (tons) ❑ Drum: Fiber DR3 Battery—Lead Acid: Car= 17.8 lbs Truck=48.7 lbs ❑Aluminum Scrap AA2 Truck Motorcycle 48.7 bs lbs ❑Brass NO3 ❑Copper NO2 Rubber Tires: Car=21 lbs Truck=70 lbs ❑ Ferrous Metals F01 Used Oil: Tru lbs per gallon ❑ Non-Ferrous Metals N01 ❑Lead N04 Oil Filters: 1.2 lbs each ❑ Nickel N10 Glass—Whole Bottle: 1 ton=2 yds3 ❑ Stainless Steel N05 Newsprint—Loose: 1 ton=3 yds3 ❑White Goods F03 Corrugated Cardboard: 2.5'x 4'x 5' bale= 1100 lbs ❑ Drum: Steel DR2 Plastic Soda Bottles ❑Wire/Cable W01 Whole, Loose: 30 lbs= 1 yd3 ❑ Mixed Metals MM1 Plastic Film: 2.5'x 4'x 5' bale= 1500 lbs ❑ Glass: Plate GL5 ❑ Drum: Plastic DR1 Solid&Liquid Fats: 55 gallon drum=412 lbs ❑Asphalt ASP White Goods ❑Clothing &Textiles M03 Freezers: 1 =250 lbs 1 =250 lbs ❑ Construction & M02 Other Appliances: 1 = 150 lbs Demolition ❑ Furniture& Furnishings M04 Yard Waste ❑ Mattresses MT1 Leaves: 4 yd3= 1 ton ❑Rubber Tires M01 Grass Clippings: 2 yd3= 1 ton ❑ Miscellaneous/Other Wood Chips: 1 yd3=500 lbs MIS Items Other,Please list below: Household Hazardous code SUBMIT REPORT Waste ❑Antifreeze 002 TO MUNICIPALITY ❑Batteries: Lead Acid B01 BY FEB ❑Batteries:Other B02 �4ih ❑ Catalytic Converters, V01 0 Radiators Your accurate and timely ❑ Computer Systems CB1 reporting enables the County and ❑ Consumer Electronics CR1 the State to determine an ❑ Fluorescent Tubes/CFL's FL1 accurate recycling rate and ❑Oil Filters OL3 showcase the importance and ❑ Other HHW viability of the recycling industry. (paints,varnish,pesticides,etc.) ❑ Used Oil OL2 I certify, to the best of my knowledge, that the information on this form is complete and accurate. I further authorize the Municipality to aggregate this report for DEP reporting purposes. If a legible weight ticket is attached, this report may also be used for DEP gran purposes. r f I , c,L. . . . ' Deborah J. Hollenshea,�it, //Y_ ��. I-'' i T. l,� -g� e atur -- Date Authoriz:,. Re resentative (Signature) 2 of 2 k0 ti e....) 4500-FM-SW0011 Rev.1212009 COMMONWEALTH OF PENNSYLVANIA For the period: Form DEPARTMENT OF ENVIRONMENTAL PROTECTION January 1,2011 to December 31,2011 BUREAU OF WASTE MANAGEMENT pennsylvEanianoN ANNUAL RECYCLING REPORT Due: Feb. 1 of the following year 1.-1' � To: Municipality where For Commercial, Municipal, Institutional Facilities recyclables were generated County Name: Franklin County Municipality Name: Greene Township Name of Establishment: Greene Township Board of Supervisors Address: 1145 Garver Lane City: Scotland Zip Code: 17254 Email: greene @pa.net Telephone: (717)263-4990 Fax: (717)263-6427 Primary Business Function: Local Government How does your establishment handle recyclable materials? ® Source-separated ® Commingled ® Single Stream How are your recyclable materials collected? ® Collected by recycling facility or broker(name): Conservit, Beechers Auto Salvage ® Collected by private hauler(name): IESI,Waste Management, Chambersburq Waste Paper, etc. ® Collected by confidential document destruction company(name): All Shred,Advanced Recycling ® Establishment delivers materials to drop-off or curbside program (location): Penn Waste,Washington Twp. Rec. Ctr 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. ❑ Establishment delivers materials to recycling facility(name): ❑ 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 legible weight ticket from your recycler. 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 Type Weight ❑ Single Stream: [SS1] 261.83 Material Type Weight (All recyclables, including fiber, collected together) Metal Cans and Bottles: ❑ Commingled: [XXX] 266.87 ❑ Aluminum Cans [AA1] (2 or more recyclables collected together, fiber separate) ❑ Steel & Bimetallic(Tin)Cans [F02] Paper: ❑ Mixed Cans [MX2] ❑ Paper: Cardboard [C01] 516.91 Plastics: ❑ Paper: Magazines&Catalogs [PA1] ❑ Plastic: PET [PL1] ❑ Paper: Mixed/Other(junk mail, [PA3] ❑ Plastic: HDPE [PL2] paper bags, paperboard, ❑ Plastic: PVC [PL3] etc.) ❑ Plastic: LOPE [PL4] ❑ Paper: Newsprint [PA2] ❑ Plastic: PP [PL5] ❑ Paper: Office Paper(all grades) [PA4] 36.52 ❑ Plastic: PS [PL6] ❑ Paper: Phone Books [PA6] ❑ Plastic: Film [PL8] Glass Bottles and Jars: ❑ Plastic: Mixed [PL7] 1.09 ❑ Glass: Brown [GL4] ❑ Plastic: Other [PL9] ❑ Glass: Clear [GL1] Organics: ❑ Glass: Green [GL3] ❑ Food Waste [FW 1] ❑ Glass: Mixed [GL2] ❑ Wood Waste [WW1] ❑ Glass: Other [GL6] ❑ Yard and Leaf Waste [Y01] 4500 *Report only 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 not be reported on this form. **Processing residue: Material that is collected and weighed with recyclables, but is disposed rather than recycled. -3- 4500-FM-SW0011 Rev.12/2009 Form 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). Weight Conversion Chart Other Materials Recycled Code (tons) Antifreeze: 7.2 lbs per gallon ❑ Drum: Fiber DR3 Battery—Lead Acid: Car= 17.8 lbs ❑ Aluminum Scrap AA2 38.81 Truck=48.7 lbs ❑ Brass NO3 Motorcycle=8.7 lbs ❑ Copper NO2 Rubber Tires: Car=21 lbs ❑ Ferrous Metals F01 Truck=70 lbs ❑ Non-Ferrous Metals NO1 Used Oil: 7.2 lbs per gallon ❑ Lead N04 Oil Filters: 1.2 lbs each ❑ Nickel N10 Glass—Whole Bottle: 1 ton=2 yds3 ❑ Stainless Steel N05 ❑White Goods F03 Newsprint—Loose: 1 ton=3 yds3 ❑ Drum: Steel DR2 Corrugated Cardboard: 2.5' x 4'x 5' bale= 1100 lbs ❑Wire/Cable W01 Plastic Soda Bottles ❑ Mixed Metals MM1 Whole, Loose: 30 lbs= 1 yd3 ❑ Glass: Plate GL5 Plastic Film: 2.5' x 4' x 5' bale= 1500 lbs ❑ Drum: Plastic DR1 Solid& Liquid Fats: 55 gallon drum=412 lbs ❑ Asphalt ASP White Goods ❑ Clothing &Textiles M03 Freezers: 1 =250 lbs ❑ Construction& M02 Refrigerators: 1 =250 lbs Demolition Other Appliances: 1 = 150 lbs ❑ Furniture& Furnishings M04 Yard Waste ❑ Mattresses MT1 Leaves: 4 yd3= 1 ton ❑ Rubber Tires MO1 12.86 Grass Clippings: 2 yd3= 1 ton ❑ Miscellaneous/Other MIS Wood Chips: 1 yd3= 500 lbs Items Other, Please list below: SUBMIT REPORT Household Haz.Waste ❑Antifreeze 002 TO MUNICIPALITY ❑ Batteries: Lead Acid B01 0.66 ❑ Batteries: Other B02 BY FEB 1st! ❑ Catalytic Converters, vol Radiators Your accurate and timely ❑ Computer Systems CBI reporting enables the County and ❑ Consumer Electronics CR1 the State to determine an ❑ Fluorescent Tubes/CFL's ELI accurate recycling rate and ❑ Oil Filters OL3 showcase the importance and ❑ Other HHW viability of the recycling industry. (paints,varnish,pesticides,etc.) ❑ Used Oil OL2 I certify, to the best of my knowledge, that the information on this form is complete and accurate. I further authorize the Municipality to aggregate this report for DEP reporting purposes. If a legible weight ticket is attac ed, this report may also be u d for DEP grant urposes. L ' �, 1x. _ ,1_.01 . --, q 'mac. " ' - ° ,4 . 2 q4 l� Au horized ReprAtative Title 1 Signature 1 k Da e -4- pon 4500-FM-SW0011 Rev.1212008 COMMONWEALTH OF PENNSYLVANIA For the period: DEPARTMENT OF ENVIRONMENTAL PROTECTION January 1,201! to December 31,20// fr-..iv) pennsylvania BUREAU OF WASTE MANAGEMENT plPoU1I UNIfCt m,,,NCNIDI Fr)TCCTION ANNUAL RECYCLING REPORT - Due: Feb.1 of the following year To: Municipality where For Commercial, Municipal, Institutional Facilities recyclables were generated County Name: `rei/!/1Lr ;1 eJieriA Municipality Name: Name of Establishment: /& q //�wns�,r �eGc� � ea,-774ex Address: Grp 4/‘ /nee,Q yj Mr/I/eat City: itielj,ee tr Zip Code/7i y0 Email:f'/" emA @P.ri ma, Cam Telephone: S°3f-7y�v Fax:,5 7-784 Primary�siness Function: 14/7/.�,' i" How does your establishment handle recyclable materials? I. Source-separated * Commingled ❑Single Stream How are your recyclable materials collected? ❑Collected by recycling facility or broker(name): [$Collected by private hauler(name): ©ar/(i otick,c _Service, xh e, ❑Collected by confidential document destruction company (name): ❑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. 2 Establishment delivers materials to recycling facility(name): ./474■1 Zw ...d,? ,feaya'�.iy e.,,,te'- ❑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 legible weight 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 Type Weight Material Type Weight ::I Single Stream: [SS1] /4 2T Metal Cans and Bottles: (All recyclables, including fiber,collected together) ® Aluminum Cans [AA1] ❑ Commingled: [XXX] is Steel&Bimetallic(Tin) Cans [F02] 0 9i T (2 or more recyclables collected together,fiber separate) ❑ Mixed Cans [MX2] Paper: Plastics: L f$l Paper: Cardboard [0011 i 102 / ❑ Plastic: PET [PL1] Paper: Magazines&Catalogs [PA1] ® Plastic: HDPE [PL2] Is/q7- ►:1 Paper: Mixed/Other(junk mail, [PA3] — ❑ Plastic: PVC [PL3] paper bags, paperboard, ❑ Plastic: LOPE [PL4] etc.) ❑ Plastic: PP [P L5] Paper: Newsprint [PA2] 3,.26,-r ❑ Plastic: PS [PL6] x Paper: Office Paper(all grades) [PA4] ❑ Plastic: Film [PL8] ❑ Paper: Phone Books [PA6] ❑ Plastic: Mixed [PL7] Glass Bottles and Jars: ❑ Plastic: Other [PL9] ❑ Glass: Brown [GL4] Organics: ❑ Glass: Clear [GU] ❑ Food Waste [FW1] ❑ Glass: Green [GL3] ❑ Wood Waste [WW1] J Glass: Mixed [GL2] 3,30 T ❑ Yard and Leaf Waste [Y01] ❑ Glass: Other [GL6] *Report only 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 not be reported on this form. **Processing residue: Material that is collected and weighed with recyclables, but is disposed rather than recycled. 1 of 2 4500-FM-SW0011 Roy.1212008 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). Conversion Chart • Weight Antifreeze: • 7.2 lbs per gallon Other Materials Recycled Code (tons) ❑ Drum: Fiber DR3 Battery-Lead Acid: Car= 17.8 lbs ❑Aluminum Scrap AA2 Truck=48.7 lbs ❑ Brass NO3 Motorcycle=8.7 lbs ❑Copper NO2 Rubber Tires: Car=21 lbs ❑Ferrous Metals F01 Truck=70 lbs ❑Non-Ferrous Metals NO1 Used Oil: 7.2 lbs per gallon ❑Lead N04 Oil Filters: 1.2 lbs each ❑Nickel N10 Glass-Whole Bottle: 1 ton=2 yds3 ❑Stainless Steel N05 Newsprint-Loose: 1 ton=3 yds3 ❑White Goods F03 Corrugated Cardboard: 2.5'x 4'x 5'bale=1100 lbs ❑Drum:Steel DR2 ❑Wire/Cable W01 Plastic Soda Bottles ®Mixed Metals MM1 /17/, as - Whole,Loose: 30 lbs= 1 yd3 ❑Glass: Plate GL5 Plastic Film: 2.5'x 4'x 5'bale= 1500 lbs ❑ Drum: Plastic DR1 Solid&Liquid Fats: 55 gallon drum=412 lbs ❑Asphalt ASP White Goods ❑Clothing &Textiles M03 Freezers: 1 =250 lbs ❑ Construction & Refrigerators: 1 =250 lbs Demolition M02 Other Appliances: 1 = 150 lbs ❑ Furniture& Furnishings M04 Yard Waste ❑ Mattresses MT1 Leaves: 4 yd3= 1 ton ® Rubber Tires MO1 holy T Grass Clippings: 2 yd3= 1 ton ❑ Miscellaneous/Other MIS Wood Chips: 1 yd3=500 lbs Items Other,Please list below: Household Hazardous Code SUBMIT REPORT Waste ❑Antifreeze 002 TO MUNICIPALITY ®Batteries: Lead Acid B01 , /a7- BY FEB ° ❑ Batteries: Other B02 y ph ❑Catalytic Converters, O Radiators vol Your accurate and timely Nj Computer Systems CB1 a 37 , reporting enables the County and ❑Consumer Electronics CR1 the State to determine an ❑Fluorescent Tubes/CFL's FL1 accurate recycling rate and ❑Oil Filters 0L3 showcase the importance and ❑Other HHW viability of the recycling industry. (paints,varnish,pesticides,etc.) ❑ Used Oil OL2 I certify,to the best of my knowledge, that the information oath's form is complete and accurate. I further authorize the Municipality to aggregate this report for DEP reporting purposes. If a legible weight ticket is attached, this re ort may also be used for DEP grant purposes. \--7347rna j o ver 9gd-e.--____et a/7/ 4/A Authorized Representative le f Signature Date 2of2 4500-FM-SW0012 Rev.1212008 COMMONWEALTH OF PENNSYLVANIA For the period: r,y �� DEPARTMENT OF ENVIRONMENTAL PROTECTION January 1,20�to December 31,20 DEPARTMENT OF ENVIRONMENT r{ROTECi1ON BUREAU OF TASTE MANIAOEI�dEI�T ff Due: Feb.1 of the following year ll JAN 1 6 2012 J ANNUAL RECYCLING REPORT To: Municipality where For Transporters and Other Collection Companies recyclables were generated CEltctolr-<' rr, '--P-trim s Garbage Service , Inc. • Address: PO Box 218 Crty:Mount Union Zip Codel7066 Email: shannon @parksgarbage .com Telephone:814-542-4751 Fax:814-542-4851 Please complete one form for each municipality where you collected recyclable Municipality: I-U/y�r) 7 - — County: ity,k)1y 1. CHECK the box in front or each post-consumer* material that you collected for recycling from the municipality above. 2. ENTER the weight(in tons) of material recycled in the correct column. Subtract processing residue.** Commercial/ Residential Institutional Drop-off Name of Processing _ Material Type Tons*** Tons Tons Facility or Market �7 Single Stream: [SS1] ID,`1 -b'i,- tikJ, t \lark p Commingled: [XXX] Note: If you use a commingled or single stream collection system,check the boxes below for each material in the mix. Paper: © Paper. Cardboard [C01] ® Paper. Magazines &Catalogs [PAl] ® Paper. Mixed/other [PA3] (junk mail,paper bags,paperboard,etc.) ® Paper. Newspaper [PA21 Ei Paper. Office Paper(all grades) [PA4] ® Paper. Phone Books [PA6] Glass Bottles and Jars: ® Glass: Brown [GL4] ® Glass: Clear [GL1] ® Glass: Green [GL3] ❑ Glass: Mixed [GL2] ❑ Glass: Other [GL6] Metal Cans and Bottles: ®Aluminum Cans [AA1] ® Steel &Bimetallic(Tin) Cans [F02] ❑Mixed Cans [MX2] Plastics: Li Plastic: PET [PL1] ❑ Plastic: HDPE [PL2] ❑ Plastic: PVC [PL3] ❑ Plastic: LDPE [PL4] ❑ Plastic: PP [PL5] ❑ Plastic: PS [PL6] ❑ Plastic: Film [PL8] ❑ Plastic: Mixed [PL7] ❑ Plastic: Other [PL9] Organics: ❑ Food Waste [F01] ❑Wood Waste [WW1] ❑Yard and Leaf Waste [Y01] *Report only 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 not be reported on this form. **Processing residue: Material that is collected and weighed with recyclables, but is disposed rather than recycled. ***Residential tons: Residential tons includes recyclables from condominiums, apartment complexes and townhouses. 1 of 2 INLOAD REPORT CHAMBERSBURG WASTE PAPER, INC 2047 LOOP ROAD P.O. BOX 975 CHAMBERSBURG PA 17202 Phone : (717) 264-4890 Fax: (717) 264-6393 e-mail: . DATE: 10/20/10 I N L.#: 97398 RECEIVED FROM: LURTOW TRK LINE/DISP #: LURGAN LURGAN TOWNSHIP SUPERVISORS 8650 MCCLAYS MILL RD. TRAILER #: NEWBURG PA 17240 DISPATCH #: 44170 YOUR REF #: 44170 FAX: (717) - PHONE: (717) 532-7460 LOCATION PLASTIC BOTTLES 2380.0 LB 0.1500 357.00 6. 33ETUT1 Z a Ir� : 4 2011 o �.. �, ��. p. 0To°; F w w P. O r ate' ,S w N d d N 7:t- CO) 0 CC mW 4 cg Q W 2 = o m a --- w, c4 rs boa a ■ w I- I- W N C") z I- Z m a) 0 2 w 0 Z O * ac cn o w D 0 w�� w _ o O m > > 0 C3 00 - CC Cr w U < CD Z 0 0 0 I- TOTAL PAY 357.00 FAXED BY DATE 4500•FM•SW0011 Rev.1212008 COMMONWEALTH OF PENNSYLVANIA r the period: �� DEPARTMENT OF ENVIRONMENTAL PROTECTION January 1,20L to December 31,20 /1 pennsytvania BUREAU OF WASTE MANAGEMENT Ill MAIM ill N'lnwt0N^ICNMl rmoinmv+ ANNUAL RECYCLING REPORT Due: Feb.1 of the following year For Commercial, Municipal,Institutional Facilities To: ro Municipality where p � recyclables were generated County Name: .,,ixc.,, I Municipality Name: /1-Nrt� ,,%-4 % cy,,1.V cri /y Name of Establishment: , ' Zip Code: /7e S--J • Address:/ �:5'��r�e.r,t1 ��,-icy ��-� city: �ic.�ric;�sr�c.��. p Email: . 1r-4k-1k a..1, , & 4,1), Ct,..< ,,..pA•U s Telephone: It 7--S`t 7----W/g Fax:r/7-4:?7.-`(ZS" Primary Business Function: , rle.4c.ie..'I/)/a L. C-Gt/cn2Nrfico ,'r"' - - How does your establishment handle recyclable materials? -Source-separated MI Commingled [Single Stream How are your recyclable materials collected? ©"Collected by recycling facility or broker(name): /h0 v,v r" •V v,e.4--1 `—Af.)/-,c.c., 0-Collected by private hauler(name): 44/41-1,...- /14.4/ 6€4,11 c r r1, (6 6-0/al /'ii/r k...rs', leoiLr'1E-y S ❑Collected by confidential document destruction company(name): ❑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. ❑Establishment delivers materials to recycling facility(name): ❑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 legible weight ticket from Your recycler. 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 Type Weight Material Type. Weight O •. S• ingle Stream: [SS1) Metal Cans and Bottles: (All recyclables, including fiber,collected together) ❑ Aluminum Cans [AA1] - ©'Commingled: [XXX] 0 Steel&Bimetallic(Tin)Cans [F02] (2 or more recyclables collected together,fiber separate) ❑ Mixed Cans (MX2) Paper: Plastics: 12- P• aper: Cardboard • . [C01) 0 Plastic: PET [PL1) ❑ Paper: Magazines&Catalogs [PAl] ❑ Plastic: HOPE [PL2] ❑ Paper: Mixed/Other(junk mail, [PA3) ❑ Plastic: PVC [PL3) • paper bags,paperboard, ❑ Plastic: LDPE [PL4) etc.) ❑ Plastic: PP [P15) El Paper: Newsprint [PA2) ❑ Plastic: PS (PL6] ©' P• aper: Office Paper(all grades) [PA4) ❑ Plastic: Film [PL8] ❑ Paper: Phone Books [PA6] ®` Plastic: Mixed [PL7] Glass Bottles and Jars: • ❑ Plastic: Other [PL9] ❑ Glass: Brown [GL4] Organics: ❑ Glass: Clear [GU] ❑ Food Waste [FW1) ❑ Glass: Green [GL3) ❑ Wood Waste [WW1] ❑ Glass: Mixed [GU) ❑ Yard and Leaf Waste [Y01) . ❑ Glass: Other [GL6] *Report only 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 not be reported on this form. , **Processing residue: Material that is collected and weighed with recyclables, but is disposed rather than recycled. 1 of 2 • 4500-EM-SW0011 Roy.1212008 , • 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). - Conversion Chart Weight Antifreeze: 7.2 lbs per gallon Other Materials Recycled Code (tons) ❑Drum:Fiber DR3 Battery--Lead Acid: Car 17.8 lbs ['Aluminum Scrap AA2 Truck=48.7 lbs ❑Brass NO3 Motorcycle=8.7 lbs ❑Copper NO2 Rubber Tires: Car=21 lbs ❑Ferrous Metals F01 Truck=70 tbs ❑Non-Ferrous Metals N01 Used Oil: 7.2 lbs per gallon • ❑Lead N04 Oil Filters: 1.2 lbs each ❑Nickel Ni0 Glass—Whole Bottle: 1 ton=2 yds3 ❑Stainless Steel N05 Newsprint—Loose: 1 ton=3 yds3 ❑White Goods F03 Corrugated Cardboard: 2.5'x 4'x 5'bale=1100 lbs ❑Drum: Steel DR2 Plastic Soda Bottles ❑Wire/Cable WOI Whole,Loose: 30 lbs=1 yd3 ❑ Mixed Metals MMi Plastic Film: 2.5'x 4'x 5'bale=1500 lbs ❑Glass: Plate GL5 ❑Drum: Plastic DR1 Solid&Liquid Fats: 55 gallon drum=412 lbs ❑Asphalt ASP White Goods • ❑Clothing&Textiles M03 Freezers: 1 =250 lbs ❑Construction& Refrigerators: 1 =250 lbs Demolition M02 Other Appliances: I =150 lbs ❑Furniture&Furnishings M04 Yard Waste ❑Mattresses MT1 Leaves: 4 yd3=1 ton ❑Rubber Tires M01 Grass Clippings: 2 yd3=1 ton . ❑Miscellaneous/Other MIS Wood Chips: 1 yd3=500 lbs items Other,Please list below: Household Hazardous Code SUBMIT REPORT Waste ❑Antifreeze 002 TO MUNICIPALITY ❑Batteries: Lead Acid 601 BY. FEB ❑Batteries:Other B02 0.., 0 Catalytic Converters, VOi O Radiators • Your accurate and timely ❑Computer Systems CBI reporting enables the County and ❑Consumer Electronics _ the State to determine an ❑Fluorescent Tubes/CFL's FLI accurate recycling rate and ❑Oil Filters OL3 showcase the importance and Other HHW viability of the recycling industry. (paints,varnish,pesticides,etc.) ❑Used Oil 0L2 , I certify,to the best of my knowledge,that the information on•this form is complete and accurate. I further authorize the Municipality to aggregate this report for DEP reporting purposes. If a legible weight ticket Is attached, this report may also be used for DEP grant purposes. ,7 6/2.4-,44,,v,. _tol �J 3/121 i a-- h��? �O l i/115 N.. t„ ..�of!! Ir Ki lL. G� Authorized Representative Title Sig 'cure Date 2 of 2 . • ,-,-,-..----„, -47 _ "--/---tayebf7 Taait..540 Date Address -----77-----(1 _1_T tit _ --Account Reg.No. Clan AddiESS -------____-.. i. Account Forward 2 1 : 1 Forward \ i ',. 1 ' Res.%,4•, inin..... a II 1 . 1 1. lit-*1 V-15-*0 40-546-1K 3 . . i --------- , 5 - , . II- - ----c-m-i-----b I a 0 ' 4 1 4 5--T-61191)-30 —---10-------.1-,-.1-110----10,_ 6 1, 1 v.i....-_ ........._. ...k.,1--- 8 : J. --- 1--- --111-6050- 1 . 9 , t , ------ ___, ).17) 1 ,071,,„ :--1 ' , ' IL Ani, ir 0 --7 'W -T- A s . . _ *e; I 1. ... , 12 I et'4 ' it linn, . I 11. 13 I -- 121 liggirbv 14 i 1 7 7 0 -\----- 15 i 4.- .)...) U Ili 50 , f r':.1 L:V,Q-5.,a 'Nur Accutunt St cd Date-It Ertc-r is Foct..I,Return at Once 15 tg2;:gegaw your Accoort Stated to Dale-U Ersor le rowd. eloln al Once ..- ..----- --- , • . ......----, 1 4500-FM-$woOl1 Rev.12/2009 COMMONWEALTH OF PENNSYLVANIA For the period: Form DEPARTMENT OF ENVIRONMENTAL PROTECTION BUREAU OF WASTE MANAGEMENT January 1,20_to December 31,20 j pennsylvania Due: Feb.l of the following year DEPARTMENT OF ENVIRONMENTAL PROTECTION ANNUAL RECYCLING REPORT To: Municipality where For Commercial,Municipal,Institutional Facilities recyclables were generated County Name: r„j _ Municipality Name: •, a ,; TV/t) Name of Establishment: • 41_ x _ 1 cJ Saw Address: , " , A City: ,, . . , Zip Code: , Telephone: / _ -3 , --a c Fax: , ,:ir —7.... / Primary Business Function: _ 4. , ` How does your establishment handle recyclable materials? ❑Source-separated ❑Commingled ingle Stream How are your recyclable materials collected? ❑Collected by recycling facility or broker(name): ` Collected by private hauler(name): j 1 : ' Me1 ow ro ❑Collected by confidential document destruction company(name): ❑Establishment delivers materials to drop-off or curbside program(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. ❑Establishment delivers materials to recycling facility(name): ❑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 legible weight ticket from your reenter. 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 Type Weight Stream: [SS1] 76,4i J Material Type Weight (All recyclables,including fiber,collected together) Metal Cans and Bottles: ❑ Commingled: [XXX] ❑ Aluminum Cans [AA1] (2 or more recyclables collected together,fiber separate) ❑ Steel&Bimetallic(Tin)Cans [F02] Paper: ❑ Mixed Cans [MX2] ❑ Paper: Cardboard [C01] Plastics: ❑ Paper: Magazines&Catalogs [PA1] ❑ Plastic: PET [PL1] ❑ Paper: Mixed/Other(junk mail, [PA3] ❑ Plastic: HOPE [PL2] • paper bags,paperboard, ❑ Plastic: PVC [PL3] etc.) ❑ Plastic: LOPE [PL4] ❑ Paper: Newsprint [PA2] ❑ Plastic: PP [PL5] ❑ Paper: Office Paper(all grades) [PA4] ❑ Plastic: PS [PL6] ❑ . Paper: Phone Books [PA6] ❑ Plastic: Film [PL8] Glass Bottles and Jars: ❑ Plastic: Mixed [PL7] ❑ Glass: Brown [GL4] ❑ Plastic: Other [PL9] ❑ Glass: Clear [GL1] Organics: ❑ Glass: Green [G L3] ❑ Food Waste [FW1] ❑ Glass: Mixed [GL2] ❑ Wood Waste [WW1] ❑ Glass: Other [GL6] ❑ Yard and Leaf Waste [Y01] 85,S *Report only 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 not be reported on this form. **Processing residue: Material that is collected and weighed with recyclables, but is disposed rather than recycled. -3- 4500-FM-SW0011 Rev.1212009 Form 3. CHECK the box in front of each post-consumer material recycled at your establishment. 4. If you market the recydables yourself, enter the weight (in tons) of material recycled. No verification is needed for weights reported on this page(page 2). uIr rS rrF5, , {I. 'i- l n, ' I� }FF , 1za !�1 Iia I ' 41'i 't�� f.r11., -fl r'- II, VlVeight 't , , I ' r r I [1411-,k411 tl h a :� a ; Other Materials Recycled Code (tons) + ,I ' y I;,'�;I ; f + "�,�i�''` 1 i� ; " �+ t � d r + � � t � 2� t ti ❑Drum:Fiber DR3 t � I� � t + TI ❑Aluminum Scrap AA2 t i 4 4 I , t, ' �� t a i ,II' t'I ❑Brass NO3 �t{,�+rl'+1 t'r�{t 1 11 I a�la�� IG ,1 i a ❑Copper NO2 r 11,i l 1 I' ;i , + 1 ,, ' 1 t� ❑Ferrous Metals F01 p tF t„ `r ❑Non-Ferrous Metals NO1 ,� ,I, d t, ,ta 11 II ,�-�' III�.f 1, Ii , ❑Lead N04 Ili j 4 ''. 7 u-, 'Yh lfi ltt �. '�t�' YL ❑Nickel N10 t, ,i _t ti r ,t,, , t, 1E; ,I 1I;�i P fr�Ijp ■ ,{� t t�l q 1 n n,,' t *� 'tll xi �I l I t�{+ 711 1 {�- }i, i '{...� ❑Stainless Steel N05 ; �� ❑White Goods F03 t, I> 11 I k' r t t ❑Drum:Steel DR2 I' ❑Wire/Cable W01 ❑Mixed Metals MM1 t . ,1, 1 r, ', t+ ❑Glass:Plate GL5 .; r A. fi ,> �I -; ❑Drum:Plastic DR1i � [, t i t ❑Asphalt ASP P ❑Clothing&Textiles M03 ;'" j'; �, ; , ❑Construction& I 1 M02 Demolition �. ; "tl r a ❑Furniture&Furnishings M04 �r ' a ❑Mattresses MT1 :� i t jf _' I t ., ❑Rubber Tires M01 1' , ; { ❑Miscellaneous/Other , , ''�t, 1: i' )' Items MIS I t ' i t'.,-,1' I ! I i,-0 Other,Please list below: a,.,f. �+ r al �a.. Household Haz.Waste SUBMIT REPORT 0 Antifreeze 002 TO MUNICIPALITY ❑Batteries:Lead Acid B01 ❑Batteries:Other B02 BY FEB 1st! ❑Catalytic Converters, V01 Radiators Your accurate and timely G mputer Systems CBI ,g T reporting enables the County and r Consumer Electronics CR1 the State to determine an ❑Fluorescent Tubes/CFL's FLI accurate the recycling rate and ❑Oil Filters 0L3 showcase importance and ❑other HHW viability of the recycling industry. (paints,varnish,pesticides,etc.) ❑Used Oil OL2 I certify, to the best of my knowledge,that the information on this form is complete and accurate. I further authorize the Municipality to aggregate this report for DEP reporting purposes. If a legible weight ticket is attached,this report may also be used for DEP grant purposes. /i4 4i4 /v"sti6 ?L�,ddutJG/GAS / /Agill 2� Authorized Representative Title Signature Date -4- 4503-FM-SW0012 Rev.1212008 Orli COMMONWEALTH OF PENNSYLVANIA For the period: cis li DEPARTMENT NiL PRO DEPARTMENT OF ENVIRONMENTAL PROTECTION January 1,20 to December 31,20N DEPARTMENT DF ENVIRONMENTAL PROTECTION BUREAU OF WASTE MANAGEMENT ANNUAL RECYCLING REPORT Due: Feb.1 of the following year For Transporters and Other Collection Companies To: rec cl bles where recyclabies were generated Collector Name: Park' s Garbage Service, Inc. Address: PO Box 218 CRY:Mount Union ZipCode.7066 Email: shannon@parksgarbage.com Telephone:814-542-4751 Fax:814-542-485 Please comple)e one form yor each municipality where you collected recyclable__. �`� Municipality: p7� k✓ � County: j 7`67F//h 1. CHECK the box in fron or each post-consumer*material that you collected for recycling from the municipality above. 2. ENTER the weight(in tons)of material recycled in the correct column. Subtract processing residue.** Commercial/ Residential Institutional Drop-off Name of Processing Material Type Tons*** Tons Tons Facility or Market Single Stream: , [SS1] ` 75. jgyy 1/1,0c& Vbrk P14 Commingled: [ ] Note: If you use a commingled or single stream collection system,check the boxes below for each material in the mix. Paper: © Paper: Cardboard [C01] Q Paper. Magazines&Catalogs [PA1] ® Paper. Mixed/other [PA3] (junk mail,paper bags,paperboard,etc.) ® Paper: Newspaper [PA2] ® Paper. Office Paper(all grades) [PA4] ® Paper: Phone Books [PA6] Glass Bottles and Jars: ® Glass: Brown [GL4] ® Glass: Clear [GL1] ® Glass: Green [GL3] ❑ Glass: Mixed [GL2] ❑ Glass: Other [GL6] Metal Cans and Bottles: ®Aluminum Cans [AA1] ® Steel &Bimetallic(Tin)Cans [F02] ❑ Mixed Cans [MX2] Plastics: ® Plastic: PET [PL1] ❑ Plastic: HDPE [PL2] ❑ Plastic: PVC [PL3] ❑ Plastic: LDPE [PL4] ❑ Plastic: PP [PL5] ❑ Plastic: PS [PL6] ❑ Plastic: Film [PL8] _ ❑ Plastic: Mixed [PL7] ❑ Plastic: Other [PL9] Organics: ❑ Food Waste [F01] ❑Wood Waste [WW1] ❑ Yard and Leaf Waste [Y01] *Report only 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 not be reported on this form. **Processing residue: Material that is collected and weighed with recyclables,but is disposed rather than recycled. ***Residential tons: Residential tons includes recyclables from condominiums, apartment complexes and townhouses. 1 of 2 4500-FM-SW0012 Rev.1212008 3. CHECK the box in front of each post-consumer material that you collected for recycling from the municipality on page 1. 4. ENTER the weight(in tons)of material recycled in the correct column. Commercial/ Conversion Chart Residential Institutional Drop-off Antifreeze: 7.2 lbs per gallon Other Materials Recycled Code Tons*** Tons Tons Battery-Lead Acid: Car=17.8 lbs ❑ Drum: Fiber DR3 Truck=48.7 lbs ❑Aluminum Scrap AA2 Motorcycle=8.7 lbs ❑ Brass NO3 Rubber Tires: Car=21 lbs ❑ Copper NO2 Truck=70 lbs ❑Ferrous F01 Used Oil: 7.2 lbs per gallon ❑ Non-Ferrous Metals NO1 Oil Filters: 1.2 lbs each ❑ Lead N04 Glass—Whole Bottle: 1 ton=2 yds3 ❑ Nickel N10 Newsprint—Loose: 1 ton=3 yds3 ❑Stainless Steel N05 Corrugated Cardboard: 2.5'x 4'x 5'bale= ❑White Goods F03 1100 lbs ❑Drum:Steel DR2 Plastic Soda Bottles ❑Wire/Cable W01 Whole,Loose: 30 lbs=1 yd3 ❑ Mixed Metals MM1 Plastic Film: 2.5'x 4'x 5'bale= ❑Glass: Plate GL5 1500 lbs ❑ Drum: Plastic DR1 Solid&Liquid Fats: 55 gallon drum= 412 lbs ❑Asphalt ASP White Goods ❑Clothing&Textiles , M03 Freezers: 1 =250 lbs ❑Construction& M02 Refrigerators: 1 =250 lbs Demolition Other Appliances: 1 =150 lbs ❑ Furniture&Furnishings M04 Yard Waste ❑Mattresses _ MT1 Leaves: 4 yd3=1 ton ❑Rubber Tires MO1 Grass Clippings: 2 yd3=1 ton ❑Miscellaneous/Other MIS Wood Chips: 1 yd3=500 lbs • Items Other,Please list below: COMPLETE ONE REPORT Commercial/ FOR EACH MUNICIPALITY Household Hazardous Residential Institutional Drop-off WHERE YOU COLLECTED Waste Code Tons*** Tons Tons ❑Antifreeze 002 RECYCLABLES IN THE ❑ Batteries: Lead Acid B01 PRIOR YEAR. ❑Batteries:Other _ B02 SUBMIT REPORT TO ©Catalytic Converters, V01 Radiators MUNICIPALITY BY FEB 1st! ❑Computer Systems CBI ❑Consumer Electronics CR1 Your accurate and timely reporting enables the ❑ Fluorescent Tubes/GEC's FLI County and the State to determine an accurate recycling rate and showcase the importance ❑Oil Filters OL3 and viability of the recycling industry. ❑Other HHW (paints,varnish,_pesticides,etc.) ❑Used Oil OL2 Total tons of processing residue or processing residue rate used to calculate reported tonnages: I certify, to the best of my knowledge,that the information on this form is complete and accurate. I further authorize the Municipality to aggregate this report for DEP reporting and grant purposes. Processing residue has been subtracted from the above tonnages. ,) Shannon Cornelius Adm. Assistant 01/10/12 A/VIOL(�{,�,�.7az4 Authorized Representative Title Signature Date 2 of 2 02/06/2012 13:43 7177619476 CH DISPATCH PAGE 02/03 45x70-FM.$W0012 Rev.1212009 For the period: Form COMMONWEAt,7N OF PENNSY$VANIA' to December 21,2011 DEPAR'CMENT OF ENVIROENMEN7AL pR07EC7IQN Jenuery 1,20.11 pennsylvania suasl+U OF WASTE 1iAANADEfAENT ovana(rPi OtandNWITA.Pr.ditenci0 ANNUAL RECYCLING REPORT following Feb.1 of the f Year To: Municipality follow For Transporters and Other Collection Compant recclables were •enerated Collector Name: I ■�� '� ';.'.i•-L•• C". 1� 7_ip Code: OI Address: • s'ill • 1119"f. � �� .! r �g_j t1 Telephone di I • •- Please complete •ii.- • f• • •ch mu .all where you collected recyciables. MuniclPglitY: 4 e i gra OM-kris e. 1 ■► County: i 1. CHECK the box In front of each post-ca sumet"material hat you collected for recycling g �s'd�+�icipal'rty above. 2. ENTER the weight(in tons)of material recycled In the correct column. . • Commercial! Residential Institutional Drop-off Name Iof Processing Rec cldble Material •• Tons ��ti�, ll or i►ark et C . . 1 1 '1 Note: led: r a� Note: if oU use a Commin•led or al a le stream s stem obey the boxes below e�material in the mix. Gat M Paper: Ma•eZirles&C etaio e s IEVEM ■ Paper: Mlxedfother Gunk mail,paper bag$.paperboard, etC. llag>t11111=1.1 Mr Pa• Office Pa•er all •rases 6 MA Pa•=-1 r. Phone Books Glass Bottles lass: and Jars: �>w Glass: Brown �� n ...aernor—ramonimmili ma Glass: Mixed t r • � -� ■ Glass; Usher Metal Cans and Bottles: Am ME 111111M/111111111.11.1.111.1 ■ ' ~ F02 IMIIIIIIIMIIIIMI � ��_ m■ Plastic: PET �� ■ MI Plastic: HDP1r ■ Plastic: LOPE' rt1� 1 � It JI • Plastic: Mixed M'L9 a 11111.1.111111111M111.111M1.1.111.I IIIIIIIMIIIIMIIIIIIIII • Plastic Other Or•aniGs: NM 11=11=1111 • Food Waste 1 • Wood Waste 01 IIIIMI Yard and Leaf Waste . • 11. post-consumer ma del: atenal that ha•1emrs excludes d a IIIMIMMIIIIIIIIIMIII .c: • su r .ost-chenumer le al= •n Is consumer item a •then divert•from mun pal soG• waste for the purpose of collection and recycling. The mate overruns,generated issue publications,and r converting Inventories that did manufacturing the generat generating facility rwould tbbe clas classified print cons r materials as pre-consumer materials and should clot be reported on this form. **Processing***Residential residue:Residential torts Includes and from with ums,apartment than tow houses. ""*Resides �y -3- 02/06/2012 13:43 7177619476 CH DISPATCH PAGE 03103• collected for reoycting from the mUniCiPelity on Page 1. Fair HECK the box in front of each p�t'�nsumer motorist that you of rlal recycled in the correct column. , : r• .,:•;,,'..,. 3. ENTER the weight(in tons) mate `¢ rr►ltraioCi ';;:;t', 4. ,EN7 Commercial! •::;;::::',. :.;:', ,.' , r; ,,; 01;O fo tlal Instituttonai Drop-o �► ta�" �., : . Res Tons OnS n+'i ��' r.,,,,,, 6::;•; ` ,w+: Torn 7 l:�ai�, a•`:•;" . �..:1,:- • jry:+ Flt: , d: ., ,• Code Tons n ; :>;•' .: N . Other 1lllatsri Rae ed � ,'.'^:.z._:: ''e'� ;•;:�.'�•tot!cycie 5'�;7.1t�::; t)ttr ate DR3 _ 1:!:. .. :: . ;. §,..:'•,., s: •.::• N Drum ., ':. s: ,, r21 leis.14:032 IIIIIIIIIIIIIIIIIIIIIIII[■ Gripper F01 •'�b i F1 tees;•.�`;'•'A;;`'.;.;., `•?;2.)tis i�acti: i �r f=errous x101 ' "cte+aottle :1 bn, d63 • Non- errous Metals •�1¢t '0. ' .., l'••` s; Nfl4 •• � ` aye, '•'t�oh.= Y�. :;r'•'i ';Vilervaptl, t ,1-s?...:ai:.,•:`,.•• . ':..'.. , Lead N10 � ' '•�� 'Cd'lljti8rti7�`.�.'$�'f<4'x 5 bsle�= • Steel . .. . ...,:. . L.•R Stainless F03 . ....� •.••,., :� • ;., ;.•,:.:::•;;•. • • :` �,•, • M White Goods 1=fl � :ple�cip.ia i�'��.,a,Sag '•.'�Q.IUs�•1.5�d',..' :'.1.'. Drum:Steel WOl . ':r;i►tiola,'t•is!?,. •, :25loliY;0iii .= . . 11.40 }2iiiiazis WO1 :pl c )trri- ,1540ltis" MIIIINIIIIIIIIOIIOI �`�ia yii�d t=ats;, Is us Drum:Plate „a z.*. m:Plastic �� . ;• 1. '' .:.; ,.y:.`: Diu r ;.!`NCI ey�� :'': .'' :;'r `.I+�; Ibs II othm• &Textiles :,�ietll9e,,rtRO...�;:•t••. �`� •l�' .'b,. • Construct! & M02 . {F r A001.f0nc0s,: ::1.l',:.1,.,' ., . pemolltion N� .Yard.�l,,�e : ya'�,�'9Io•,,n ' Furniture&Furnishings '' ' 'a: �! • II F attres "t-° DR.'S;• '. 0.'. .,:toy: . .. ::+ „racl1' IMI$c ll Tires M01 ,'.. .?i4 . II Miscellaneous/Other � '-;':':•. � ____ • Items •titer,Please list below: COMPLETE ONE REPORT IIIIIIIIIIIIIIIIIIIIIIIIIHIIIII FOR EACH MUNICIPALITY Household Haz.Waste r � INHERE YOU COLLECTED • Antifreeze R @GYGLABL.ES IN THE �•Batteries:Other Acid C2 PRIOR YEAR. • Batteries: oner VO1 RlE AR. 7 ■ a..ist c Converters, $UBM t •ipute IWUNI 1P Ll _If FEE 1 E Computer S stems (It,Fluorescent Electronics Tub vn C `” I, Your accurate and timely reporting enables the III OFilters TubeslCFt's — I copy and the State to defaming an accurate �i Oil Filters reoycr+W ate and showcase the Importance IIIIIIIIIIIIII• Other I and visbl ily or the racy IfrIg industry. •afirs,Famish ,:•gddes etc, OlZ � ___� _ I Total tons of processing residue or processing residue rate used to calculate reported tonnages: I O CIO Total tons of solid waste collected,if required by municipality: - r 1 certify,to the best of my knowledge,that the Infor:narion on this filar is complete and accurate, !further authorize the Municipality to aggregate this r''epod for DEP feiporthrg and grant purposes. Processing residue has begs subtracted from the above tonnages. 1 i.- 19 A '�^ t Authorized Represents Title Siortalure Date —__.4 CRS Holding of America Invoice/Certificate of Recycling 1.#1. 3110 Cherry Palm Dr Suite 330 Tampa,FL 33619 Service Date Invoice# • li Phone# 813-386-6070 Fax#.•. iliaj 11/21/2011 49611 Bill To Y Service Location Franklin County Solid Waste Franklin County Solid Waste Attn:Dan Wolfe 705 Municipal Drive 218 N 2nd St Shippensburg,PA 17257 Chambersburg,PA 17268 BOL Weight Ticket# P.O.No. Invoice Date Terms Due Date 11/30/2011 Net 30 12/30/2011 Description Quantity Net Weight Billable Units Rate Amount PCs 63 1752 0.00 0.00 Monitors CRT 33 1591 0.00 0.00 Monitors LCD 1 15 0.00 0.00 TVs CRT 16 1198 0.00 0.00 TVs LCD 1 78 0.00 0.00 Large Computer Peripherals:Printers,Fax Machines,Scanners 8 139 0.00 0.00 Large or Floor Model Copiers 3 378 0.00 0.00 Miscellaneous Items 2052 0.00 0.00 Total Weight:7203 lbs Total $0.00 Payments/Credits $0.00 Balance Due $0.00 Creative Recycling certifies that the above listed material has been processed in our R2/RIOS,ISO 14001,ISO 9001 and OHSAS 18001 certified facility in accordance with all Federal,State,and local law regulations.This document also serves as the Certificate of Media Destruction and/or Sanititzation verifying that all requested media from the material included in this inventory was destroyed in accordance with NIST 800-88 standards. Imo.°� AIL= CRS Holding of America 3110 Cherry Palm Dr Invoice Suite 330 Tampa,FL 33619 • Service Date Invoice# Phone# 813-386-6070 Fax#.- \ 10/12/2011 47110 ,' i' • • . Bill To Y Service Location Franklin County Solid Waste Franklin County Solid Waste Attn:Dan Wolfe 705 Municipal Drive 218N 2nd St Shippensburg,PA 17257 Chambersburg,PA 17268 BOL Weight Ticket# P.O. No. Invoice Date Terms Due Date 10/24/2011 Net 30 11/23/2011 Description Quantity Net Weight Billable Units Rate Amount PCs 39 1170 0.00 0.00 All in Ones 3 102 0.00 0.00 Monitors CRT 30 1500 0.00 0.00 Monitors LCD 19 380 0.00 0.00 TVs CRT 51 2958 0.00 0.00 TVs LCD 7 483 0.00 0.00 Large Computer Peripherals:Printers,Fax Machines,Scanners 25 500 0.00 0.00 Miscellaneous Items 3323 0.00 0.00 Total Weight:10416 lbs Total $0.00 Payments/Credits $0.00 Balance Due $0.00 If you have any questions or concerns regarding this invoice or need any additional assistance,please contact our Customer Service Department at customerservice @crserecycling.com. 4500-FM-$woOl1 Rev.12/2009 COMMONWEALTH OF PENNSYLVANIA For the period: Form DEPARTMENT OF ENVIRONMENTAL PROTECTION BUREAU OF WASTE MANAGEMENT January 1,20_to December 31,20 j pennsylvania Due: Feb.l of the following year DEPARTMENT OF ENVIRONMENTAL PROTECTION ANNUAL RECYCLING REPORT To: Municipality where For Commercial,Municipal,Institutional Facilities recyclables were generated County Name: r„j _ Municipality Name: •, a ,; TV/t) Name of Establishment: • 41_ x _ 1 cJ Saw Address: , " , A City: ,, . . , Zip Code: , Telephone: / _ -3 , --a c Fax: , ,:ir —7.... / Primary Business Function: _ 4. , ` How does your establishment handle recyclable materials? ❑Source-separated ❑Commingled ingle Stream How are your recyclable materials collected? ❑Collected by recycling facility or broker(name): ` Collected by private hauler(name): j 1 : ' Me1 ow ro ❑Collected by confidential document destruction company(name): ❑Establishment delivers materials to drop-off or curbside program(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. ❑Establishment delivers materials to recycling facility(name): ❑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 legible weight ticket from your reenter. 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 Type Weight Stream: [SS1] 76,4i J Material Type Weight (All recyclables,including fiber,collected together) Metal Cans and Bottles: ❑ Commingled: [XXX] ❑ Aluminum Cans [AA1] (2 or more recyclables collected together,fiber separate) ❑ Steel&Bimetallic(Tin)Cans [F02] Paper: ❑ Mixed Cans [MX2] ❑ Paper: Cardboard [C01] Plastics: ❑ Paper: Magazines&Catalogs [PA1] ❑ Plastic: PET [PL1] ❑ Paper: Mixed/Other(junk mail, [PA3] ❑ Plastic: HOPE [PL2] • paper bags,paperboard, ❑ Plastic: PVC [PL3] etc.) ❑ Plastic: LOPE [PL4] ❑ Paper: Newsprint [PA2] ❑ Plastic: PP [PL5] ❑ Paper: Office Paper(all grades) [PA4] ❑ Plastic: PS [PL6] ❑ . Paper: Phone Books [PA6] ❑ Plastic: Film [PL8] Glass Bottles and Jars: ❑ Plastic: Mixed [PL7] ❑ Glass: Brown [GL4] ❑ Plastic: Other [PL9] ❑ Glass: Clear [GL1] Organics: ❑ Glass: Green [G L3] ❑ Food Waste [FW1] ❑ Glass: Mixed [GL2] ❑ Wood Waste [WW1] ❑ Glass: Other [GL6] ❑ Yard and Leaf Waste [Y01] 85,S *Report only 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 not be reported on this form. **Processing residue: Material that is collected and weighed with recyclables, but is disposed rather than recycled. -3- 4500-FM-SW0011 Rev.1212009 Form 3. CHECK the box in front of each post-consumer material recycled at your establishment. 4. If you market the recydables yourself, enter the weight (in tons) of material recycled. No verification is needed for weights reported on this page(page 2). uIr rS rrF5, , {I. 'i- l n, ' I� }FF , 1za !�1 Iia I ' 41'i 't�� f.r11., -fl r'- II, VlVeight 't , , I ' r r I [1411-,k411 tl h a :� a ; Other Materials Recycled Code (tons) + ,I ' y I;,'�;I ; f + "�,�i�''` 1 i� ; " �+ t � d r + � � t � 2� t ti ❑Drum:Fiber DR3 t � I� � t + TI ❑Aluminum Scrap AA2 t i 4 4 I , t, ' �� t a i ,II' t'I ❑Brass NO3 �t{,�+rl'+1 t'r�{t 1 11 I a�la�� IG ,1 i a ❑Copper NO2 r 11,i l 1 I' ;i , + 1 ,, ' 1 t� ❑Ferrous Metals F01 p tF t„ `r ❑Non-Ferrous Metals NO1 ,� ,I, d t, ,ta 11 II ,�-�' III�.f 1, Ii , ❑Lead N04 Ili j 4 ''. 7 u-, 'Yh lfi ltt �. '�t�' YL ❑Nickel N10 t, ,i _t ti r ,t,, , t, 1E; ,I 1I;�i P fr�Ijp ■ ,{� t t�l q 1 n n,,' t *� 'tll xi �I l I t�{+ 711 1 {�- }i, i '{...� ❑Stainless Steel N05 ; �� ❑White Goods F03 t, I> 11 I k' r t t ❑Drum:Steel DR2 I' ❑Wire/Cable W01 ❑Mixed Metals MM1 t . ,1, 1 r, ', t+ ❑Glass:Plate GL5 .; r A. fi ,> �I -; ❑Drum:Plastic DR1i � [, t i t ❑Asphalt ASP P ❑Clothing&Textiles M03 ;'" j'; �, ; , ❑Construction& I 1 M02 Demolition �. ; "tl r a ❑Furniture&Furnishings M04 �r ' a ❑Mattresses MT1 :� i t jf _' I t ., ❑Rubber Tires M01 1' , ; { ❑Miscellaneous/Other , , ''�t, 1: i' )' Items MIS I t ' i t'.,-,1' I ! I i,-0 Other,Please list below: a,.,f. �+ r al �a.. Household Haz.Waste SUBMIT REPORT 0 Antifreeze 002 TO MUNICIPALITY ❑Batteries:Lead Acid B01 ❑Batteries:Other B02 BY FEB 1st! ❑Catalytic Converters, V01 Radiators Your accurate and timely G mputer Systems CBI ,g T reporting enables the County and r Consumer Electronics CR1 the State to determine an ❑Fluorescent Tubes/CFL's FLI accurate the recycling rate and ❑Oil Filters 0L3 showcase importance and ❑other HHW viability of the recycling industry. (paints,varnish,pesticides,etc.) ❑Used Oil OL2 I certify, to the best of my knowledge,that the information on this form is complete and accurate. I further authorize the Municipality to aggregate this report for DEP reporting purposes. If a legible weight ticket is attached,this report may also be used for DEP grant purposes. /i4 4i4 /v"sti6 ?L�,ddutJG/GAS / /Agill 2� Authorized Representative Title Signature Date -4- 4503-FM-SW0012 Rev.1212008 Orli COMMONWEALTH OF PENNSYLVANIA For the period: cis li DEPARTMENT NiL PRO DEPARTMENT OF ENVIRONMENTAL PROTECTION January 1,20 to December 31,20N DEPARTMENT DF ENVIRONMENTAL PROTECTION BUREAU OF WASTE MANAGEMENT ANNUAL RECYCLING REPORT Due: Feb.1 of the following year For Transporters and Other Collection Companies To: rec cl bles where recyclabies were generated Collector Name: Park' s Garbage Service, Inc. Address: PO Box 218 CRY:Mount Union ZipCode.7066 Email: shannon@parksgarbage.com Telephone:814-542-4751 Fax:814-542-485 Please comple)e one form yor each municipality where you collected recyclable__. �`� Municipality: p7� k✓ � County: j 7`67F//h 1. CHECK the box in fron or each post-consumer*material that you collected for recycling from the municipality above. 2. ENTER the weight(in tons)of material recycled in the correct column. Subtract processing residue.** Commercial/ Residential Institutional Drop-off Name of Processing Material Type Tons*** Tons Tons Facility or Market Single Stream: , [SS1] ` 75. jgyy 1/1,0c& Vbrk P14 Commingled: [ ] Note: If you use a commingled or single stream collection system,check the boxes below for each material in the mix. Paper: © Paper: Cardboard [C01] Q Paper. Magazines&Catalogs [PA1] ® Paper. Mixed/other [PA3] (junk mail,paper bags,paperboard,etc.) ® Paper: Newspaper [PA2] ® Paper. Office Paper(all grades) [PA4] ® Paper: Phone Books [PA6] Glass Bottles and Jars: ® Glass: Brown [GL4] ® Glass: Clear [GL1] ® Glass: Green [GL3] ❑ Glass: Mixed [GL2] ❑ Glass: Other [GL6] Metal Cans and Bottles: ®Aluminum Cans [AA1] ® Steel &Bimetallic(Tin)Cans [F02] ❑ Mixed Cans [MX2] Plastics: ® Plastic: PET [PL1] ❑ Plastic: HDPE [PL2] ❑ Plastic: PVC [PL3] ❑ Plastic: LDPE [PL4] ❑ Plastic: PP [PL5] ❑ Plastic: PS [PL6] ❑ Plastic: Film [PL8] _ ❑ Plastic: Mixed [PL7] ❑ Plastic: Other [PL9] Organics: ❑ Food Waste [F01] ❑Wood Waste [WW1] ❑ Yard and Leaf Waste [Y01] *Report only 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 not be reported on this form. **Processing residue: Material that is collected and weighed with recyclables,but is disposed rather than recycled. ***Residential tons: Residential tons includes recyclables from condominiums, apartment complexes and townhouses. 1 of 2 4500-FM-SW0012 Rev.1212008 3. CHECK the box in front of each post-consumer material that you collected for recycling from the municipality on page 1. 4. ENTER the weight(in tons)of material recycled in the correct column. Commercial/ Conversion Chart Residential Institutional Drop-off Antifreeze: 7.2 lbs per gallon Other Materials Recycled Code Tons*** Tons Tons Battery-Lead Acid: Car=17.8 lbs ❑ Drum: Fiber DR3 Truck=48.7 lbs ❑Aluminum Scrap AA2 Motorcycle=8.7 lbs ❑ Brass NO3 Rubber Tires: Car=21 lbs ❑ Copper NO2 Truck=70 lbs ❑Ferrous F01 Used Oil: 7.2 lbs per gallon ❑ Non-Ferrous Metals NO1 Oil Filters: 1.2 lbs each ❑ Lead N04 Glass—Whole Bottle: 1 ton=2 yds3 ❑ Nickel N10 Newsprint—Loose: 1 ton=3 yds3 ❑Stainless Steel N05 Corrugated Cardboard: 2.5'x 4'x 5'bale= ❑White Goods F03 1100 lbs ❑Drum:Steel DR2 Plastic Soda Bottles ❑Wire/Cable W01 Whole,Loose: 30 lbs=1 yd3 ❑ Mixed Metals MM1 Plastic Film: 2.5'x 4'x 5'bale= ❑Glass: Plate GL5 1500 lbs ❑ Drum: Plastic DR1 Solid&Liquid Fats: 55 gallon drum= 412 lbs ❑Asphalt ASP White Goods ❑Clothing&Textiles , M03 Freezers: 1 =250 lbs ❑Construction& M02 Refrigerators: 1 =250 lbs Demolition Other Appliances: 1 =150 lbs ❑ Furniture&Furnishings M04 Yard Waste ❑Mattresses _ MT1 Leaves: 4 yd3=1 ton ❑Rubber Tires MO1 Grass Clippings: 2 yd3=1 ton ❑Miscellaneous/Other MIS Wood Chips: 1 yd3=500 lbs • Items Other,Please list below: COMPLETE ONE REPORT Commercial/ FOR EACH MUNICIPALITY Household Hazardous Residential Institutional Drop-off WHERE YOU COLLECTED Waste Code Tons*** Tons Tons ❑Antifreeze 002 RECYCLABLES IN THE ❑ Batteries: Lead Acid B01 PRIOR YEAR. ❑Batteries:Other _ B02 SUBMIT REPORT TO ©Catalytic Converters, V01 Radiators MUNICIPALITY BY FEB 1st! ❑Computer Systems CBI ❑Consumer Electronics CR1 Your accurate and timely reporting enables the ❑ Fluorescent Tubes/GEC's FLI County and the State to determine an accurate recycling rate and showcase the importance ❑Oil Filters OL3 and viability of the recycling industry. ❑Other HHW (paints,varnish,_pesticides,etc.) ❑Used Oil OL2 Total tons of processing residue or processing residue rate used to calculate reported tonnages: I certify, to the best of my knowledge,that the information on this form is complete and accurate. I further authorize the Municipality to aggregate this report for DEP reporting and grant purposes. Processing residue has been subtracted from the above tonnages. ,) Shannon Cornelius Adm. Assistant 01/10/12 A/VIOL(�{,�,�.7az4 Authorized Representative Title Signature Date 2 of 2 02/06/2012 13:43 7177619476 CH DISPATCH PAGE 02/03 45x70-FM.$W0012 Rev.1212009 For the period: Form COMMONWEAt,7N OF PENNSY$VANIA' to December 21,2011 DEPAR'CMENT OF ENVIROENMEN7AL pR07EC7IQN Jenuery 1,20.11 pennsylvania suasl+U OF WASTE 1iAANADEfAENT ovana(rPi OtandNWITA.Pr.ditenci0 ANNUAL RECYCLING REPORT following Feb.1 of the f Year To: Municipality follow For Transporters and Other Collection Compant recclables were •enerated Collector Name: I ■�� '� ';.'.i•-L•• C". 1� 7_ip Code: OI Address: • s'ill • 1119"f. � �� .! r �g_j t1 Telephone di I • •- Please complete •ii.- • f• • •ch mu .all where you collected recyciables. MuniclPglitY: 4 e i gra OM-kris e. 1 ■► County: i 1. CHECK the box In front of each post-ca sumet"material hat you collected for recycling g �s'd�+�icipal'rty above. 2. ENTER the weight(in tons)of material recycled In the correct column. . • Commercial! Residential Institutional Drop-off Name Iof Processing Rec cldble Material •• Tons ��ti�, ll or i►ark et C . . 1 1 '1 Note: led: r a� Note: if oU use a Commin•led or al a le stream s stem obey the boxes below e�material in the mix. Gat M Paper: Ma•eZirles&C etaio e s IEVEM ■ Paper: Mlxedfother Gunk mail,paper bag$.paperboard, etC. llag>t11111=1.1 Mr Pa• Office Pa•er all •rases 6 MA Pa•=-1 r. Phone Books Glass Bottles lass: and Jars: �>w Glass: Brown �� n ...aernor—ramonimmili ma Glass: Mixed t r • � -� ■ Glass; Usher Metal Cans and Bottles: Am ME 111111M/111111111.11.1.111.1 ■ ' ~ F02 IMIIIIIIIMIIIIMI � ��_ m■ Plastic: PET �� ■ MI Plastic: HDP1r ■ Plastic: LOPE' rt1� 1 � It JI • Plastic: Mixed M'L9 a 11111.1.111111111M111.111M1.1.111.I IIIIIIIMIIIIMIIIIIIIII • Plastic Other Or•aniGs: NM 11=11=1111 • Food Waste 1 • Wood Waste 01 IIIIMI Yard and Leaf Waste . • 11. post-consumer ma del: atenal that ha•1emrs excludes d a IIIMIMMIIIIIIIIIMIII .c: • su r .ost-chenumer le al= •n Is consumer item a •then divert•from mun pal soG• waste for the purpose of collection and recycling. The mate overruns,generated issue publications,and r converting Inventories that did manufacturing the generat generating facility rwould tbbe clas classified print cons r materials as pre-consumer materials and should clot be reported on this form. **Processing***Residential residue:Residential torts Includes and from with ums,apartment than tow houses. ""*Resides �y -3- 02/06/2012 13:43 7177619476 CH DISPATCH PAGE 02/03 45x70-FM.$W0012 Rev.1212009 For the period: Form COMMONWEAt,7N OF PENNSY$VANIA' to December 21,2011 DEPAR'CMENT OF ENVIROENMEN7AL pR07EC7IQN Jenuery 1,20.11 pennsylvania suasl+U OF WASTE 1iAANADEfAENT ovana(rPi OtandNWITA.Pr.ditenci0 ANNUAL RECYCLING REPORT following Feb.1 of the f Year To: Municipality follow For Transporters and Other Collection Compant recclables were •enerated Collector Name: I ■�� '� ';.'.i•-L•• C". 1� 7_ip Code: OI Address: • s'ill • 1119"f. � �� .! r �g_j t1 Telephone di I • •- Please complete •ii.- • f• • •ch mu .all where you collected recyciables. MuniclPglitY: 4 e i gra OM-kris e. 1 ■► County: i 1. CHECK the box In front of each post-ca sumet"material hat you collected for recycling g �s'd�+�icipal'rty above. 2. ENTER the weight(in tons)of material recycled In the correct column. . • Commercial! Residential Institutional Drop-off Name Iof Processing Rec cldble Material •• Tons ��ti�, ll or i►ark et C . . 1 1 '1 Note: led: r a� Note: if oU use a Commin•led or al a le stream s stem obey the boxes below e�material in the mix. Gat M Paper: Ma•eZirles&C etaio e s IEVEM ■ Paper: Mlxedfother Gunk mail,paper bag$.paperboard, etC. llag>t11111=1.1 Mr Pa• Office Pa•er all •rases 6 MA Pa•=-1 r. Phone Books Glass Bottles lass: and Jars: �>w Glass: Brown �� n ...aernor—ramonimmili ma Glass: Mixed t r • � -� ■ Glass; Usher Metal Cans and Bottles: Am ME 111111M/111111111.11.1.111.1 ■ ' ~ F02 IMIIIIIIIMIIIIMI � ��_ m■ Plastic: PET �� ■ MI Plastic: HDP1r ■ Plastic: LOPE' rt1� 1 � It JI • Plastic: Mixed M'L9 a 11111.1.111111111M111.111M1.1.111.I IIIIIIIMIIIIMIIIIIIIII • Plastic Other Or•aniGs: NM 11=11=1111 • Food Waste 1 • Wood Waste 01 IIIIMI Yard and Leaf Waste . • 11. post-consumer ma del: atenal that ha•1emrs excludes d a IIIMIMMIIIIIIIIIMIII .c: • su r .ost-chenumer le al= •n Is consumer item a •then divert•from mun pal soG• waste for the purpose of collection and recycling. The mate overruns,generated issue publications,and r converting Inventories that did manufacturing the generat generating facility rwould tbbe clas classified print cons r materials as pre-consumer materials and should clot be reported on this form. **Processing***Residential residue:Residential torts Includes and from with ums,apartment than tow houses. ""*Resides �y -3- 02/06/2012 13:43 7177619476 CH DISPATCH PAGE 03103• collected for reoycting from the mUniCiPelity on Page 1. Fair HECK the box in front of each p�t'�nsumer motorist that you of rlal recycled in the correct column. , : r• .,:•;,,'..,. 3. ENTER the weight(in tons) mate `¢ rr►ltraioCi ';;:;t', 4. ,EN7 Commercial! •::;;::::',. :.;:', ,.' , r; ,,; 01;O fo tlal Instituttonai Drop-o �► ta�" �., : . Res Tons OnS n+'i ��' r.,,,,,, 6::;•; ` ,w+: Torn 7 l:�ai�, a•`:•;" . �..:1,:- • jry:+ Flt: , d: ., ,• Code Tons n ; :>;•' .: N . Other 1lllatsri Rae ed � ,'.'^:.z._:: ''e'� ;•;:�.'�•tot!cycie 5'�;7.1t�::; t)ttr ate DR3 _ 1:!:. .. :: . ;. §,..:'•,., s: •.::• N Drum ., ':. s: ,, r21 leis.14:032 IIIIIIIIIIIIIIIIIIIIIIII[■ Gripper F01 •'�b i F1 tees;•.�`;'•'A;;`'.;.;., `•?;2.)tis i�acti: i �r f=errous x101 ' "cte+aottle :1 bn, d63 • Non- errous Metals •�1¢t '0. ' .., l'••` s; Nfl4 •• � ` aye, '•'t�oh.= Y�. :;r'•'i ';Vilervaptl, t ,1-s?...:ai:.,•:`,.•• . ':..'.. , Lead N10 � ' '•�� 'Cd'lljti8rti7�`.�.'$�'f<4'x 5 bsle�= • Steel . .. . ...,:. . L.•R Stainless F03 . ....� •.••,., :� • ;., ;.•,:.:::•;;•. • • :` �,•, • M White Goods 1=fl � :ple�cip.ia i�'��.,a,Sag '•.'�Q.IUs�•1.5�d',..' :'.1.'. Drum:Steel WOl . ':r;i►tiola,'t•is!?,. •, :25loliY;0iii .= . . 11.40 }2iiiiazis WO1 :pl c )trri- ,1540ltis" MIIIINIIIIIIIIOIIOI �`�ia yii�d t=ats;, Is us Drum:Plate „a z.*. m:Plastic �� . ;• 1. '' .:.; ,.y:.`: Diu r ;.!`NCI ey�� :'': .'' :;'r `.I+�; Ibs II othm• &Textiles :,�ietll9e,,rtRO...�;:•t••. �`� •l�' .'b,. • Construct! & M02 . {F r A001.f0nc0s,: ::1.l',:.1,.,' ., . pemolltion N� .Yard.�l,,�e : ya'�,�'9Io•,,n ' Furniture&Furnishings '' ' 'a: �! • II F attres "t-° DR.'S;• '. 0.'. .,:toy: . .. ::+ „racl1' IMI$c ll Tires M01 ,'.. .?i4 . II Miscellaneous/Other � '-;':':•. � ____ • Items •titer,Please list below: COMPLETE ONE REPORT IIIIIIIIIIIIIIIIIIIIIIIIIHIIIII FOR EACH MUNICIPALITY Household Haz.Waste r � INHERE YOU COLLECTED • Antifreeze R @GYGLABL.ES IN THE �•Batteries:Other Acid C2 PRIOR YEAR. • Batteries: oner VO1 RlE AR. 7 ■ a..ist c Converters, $UBM t •ipute IWUNI 1P Ll _If FEE 1 E Computer S stems (It,Fluorescent Electronics Tub vn C `” I, Your accurate and timely reporting enables the III OFilters TubeslCFt's — I copy and the State to defaming an accurate �i Oil Filters reoycr+W ate and showcase the Importance IIIIIIIIIIIIII• Other I and visbl ily or the racy IfrIg industry. •afirs,Famish ,:•gddes etc, OlZ � ___� _ I Total tons of processing residue or processing residue rate used to calculate reported tonnages: I O CIO Total tons of solid waste collected,if required by municipality: - r 1 certify,to the best of my knowledge,that the Infor:narion on this filar is complete and accurate, !further authorize the Municipality to aggregate this r''epod for DEP feiporthrg and grant purposes. Processing residue has begs subtracted from the above tonnages. 1 i.- 19 A '�^ t Authorized Represents Title Siortalure Date —__.4 CRS Holding of America Invoice/Certificate of Recycling 1.#1. 3110 Cherry Palm Dr Suite 330 Tampa,FL 33619 Service Date Invoice# • li Phone# 813-386-6070 Fax#.•. iliaj 11/21/2011 49611 Bill To Y Service Location Franklin County Solid Waste Franklin County Solid Waste Attn:Dan Wolfe 705 Municipal Drive 218 N 2nd St Shippensburg,PA 17257 Chambersburg,PA 17268 BOL Weight Ticket# P.O.No. Invoice Date Terms Due Date 11/30/2011 Net 30 12/30/2011 Description Quantity Net Weight Billable Units Rate Amount PCs 63 1752 0.00 0.00 Monitors CRT 33 1591 0.00 0.00 Monitors LCD 1 15 0.00 0.00 TVs CRT 16 1198 0.00 0.00 TVs LCD 1 78 0.00 0.00 Large Computer Peripherals:Printers,Fax Machines,Scanners 8 139 0.00 0.00 Large or Floor Model Copiers 3 378 0.00 0.00 Miscellaneous Items 2052 0.00 0.00 Total Weight:7203 lbs Total $0.00 Payments/Credits $0.00 Balance Due $0.00 Creative Recycling certifies that the above listed material has been processed in our R2/RIOS,ISO 14001,ISO 9001 and OHSAS 18001 certified facility in accordance with all Federal,State,and local law regulations.This document also serves as the Certificate of Media Destruction and/or Sanititzation verifying that all requested media from the material included in this inventory was destroyed in accordance with NIST 800-88 standards. Imo.°� AIL= CRS Holding of America 3110 Cherry Palm Dr Invoice Suite 330 Tampa,FL 33619 • Service Date Invoice# Phone# 813-386-6070 Fax#.- \ 10/12/2011 47110 ,' i' • • . Bill To Y Service Location Franklin County Solid Waste Franklin County Solid Waste Attn:Dan Wolfe 705 Municipal Drive 218N 2nd St Shippensburg,PA 17257 Chambersburg,PA 17268 BOL Weight Ticket# P.O. No. Invoice Date Terms Due Date 10/24/2011 Net 30 11/23/2011 Description Quantity Net Weight Billable Units Rate Amount PCs 39 1170 0.00 0.00 All in Ones 3 102 0.00 0.00 Monitors CRT 30 1500 0.00 0.00 Monitors LCD 19 380 0.00 0.00 TVs CRT 51 2958 0.00 0.00 TVs LCD 7 483 0.00 0.00 Large Computer Peripherals:Printers,Fax Machines,Scanners 25 500 0.00 0.00 Miscellaneous Items 3323 0.00 0.00 Total Weight:10416 lbs Total $0.00 Payments/Credits $0.00 Balance Due $0.00 If you have any questions or concerns regarding this invoice or need any additional assistance,please contact our Customer Service Department at customerservice @crserecycling.com. 02/06/2012 13:43 7177619476 CH DISPATCH PAGE 03103• collected for reoycting from the mUniCiPelity on Page 1. Fair HECK the box in front of each p�t'�nsumer motorist that you of rlal recycled in the correct column. , : r• .,:•;,,'..,. 3. ENTER the weight(in tons) mate `¢ rr►ltraioCi ';;:;t', 4. ,EN7 Commercial! •::;;::::',. :.;:', ,.' , r; ,,; 01;O fo tlal Instituttonai Drop-o �► ta�" �., : . Res Tons OnS n+'i ��' r.,,,,,, 6::;•; ` ,w+: Torn 7 l:�ai�, a•`:•;" . �..:1,:- • jry:+ Flt: , d: ., ,• Code Tons n ; :>;•' .: N . Other 1lllatsri Rae ed � ,'.'^:.z._:: ''e'� ;•;:�.'�•tot!cycie 5'�;7.1t�::; t)ttr ate DR3 _ 1:!:. .. :: . ;. §,..:'•,., s: •.::• N Drum ., ':. s: ,, r21 leis.14:032 IIIIIIIIIIIIIIIIIIIIIIII[■ Gripper F01 •'�b i F1 tees;•.�`;'•'A;;`'.;.;., `•?;2.)tis i�acti: i �r f=errous x101 ' "cte+aottle :1 bn, d63 • Non- errous Metals •�1¢t '0. ' .., l'••` s; Nfl4 •• � ` aye, '•'t�oh.= Y�. :;r'•'i ';Vilervaptl, t ,1-s?...:ai:.,•:`,.•• . ':..'.. , Lead N10 � ' '•�� 'Cd'lljti8rti7�`.�.'$�'f<4'x 5 bsle�= • Steel . .. . ...,:. . L.•R Stainless F03 . ....� •.••,., :� • ;., ;.•,:.:::•;;•. • • :` �,•, • M White Goods 1=fl � :ple�cip.ia i�'��.,a,Sag '•.'�Q.IUs�•1.5�d',..' :'.1.'. Drum:Steel WOl . ':r;i►tiola,'t•is!?,. •, :25loliY;0iii .= . . 11.40 }2iiiiazis WO1 :pl c )trri- ,1540ltis" MIIIINIIIIIIIIOIIOI �`�ia yii�d t=ats;, Is us Drum:Plate „a z.*. m:Plastic �� . ;• 1. '' .:.; ,.y:.`: Diu r ;.!`NCI ey�� :'': .'' :;'r `.I+�; Ibs II othm• &Textiles :,�ietll9e,,rtRO...�;:•t••. �`� •l�' .'b,. • Construct! & M02 . {F r A001.f0nc0s,: ::1.l',:.1,.,' ., . pemolltion N� .Yard.�l,,�e : ya'�,�'9Io•,,n ' Furniture&Furnishings '' ' 'a: �! • II F attres "t-° DR.'S;• '. 0.'. .,:toy: . .. ::+ „racl1' IMI$c ll Tires M01 ,'.. .?i4 . II Miscellaneous/Other � '-;':':•. � ____ • Items •titer,Please list below: COMPLETE ONE REPORT IIIIIIIIIIIIIIIIIIIIIIIIIHIIIII FOR EACH MUNICIPALITY Household Haz.Waste r � INHERE YOU COLLECTED • Antifreeze R @GYGLABL.ES IN THE �•Batteries:Other Acid C2 PRIOR YEAR. • Batteries: oner VO1 RlE AR. 7 ■ a..ist c Converters, $UBM t •ipute IWUNI 1P Ll _If FEE 1 E Computer S stems (It,Fluorescent Electronics Tub vn C `” I, Your accurate and timely reporting enables the III OFilters TubeslCFt's — I copy and the State to defaming an accurate �i Oil Filters reoycr+W ate and showcase the Importance IIIIIIIIIIIIII• Other I and visbl ily or the racy IfrIg industry. •afirs,Famish ,:•gddes etc, OlZ � ___� _ I Total tons of processing residue or processing residue rate used to calculate reported tonnages: I O CIO Total tons of solid waste collected,if required by municipality: - r 1 certify,to the best of my knowledge,that the Infor:narion on this filar is complete and accurate, !further authorize the Municipality to aggregate this r''epod for DEP feiporthrg and grant purposes. Processing residue has begs subtracted from the above tonnages. 1 i.- 19 A '�^ t Authorized Represents Title Siortalure Date —__.4 CRS Holding of America Invoice/Certificate of Recycling 1.#1. 3110 Cherry Palm Dr Suite 330 Tampa,FL 33619 Service Date Invoice# • li Phone# 813-386-6070 Fax#.•. iliaj 11/21/2011 49611 Bill To Y Service Location Franklin County Solid Waste Franklin County Solid Waste Attn:Dan Wolfe 705 Municipal Drive 218 N 2nd St Shippensburg,PA 17257 Chambersburg,PA 17268 BOL Weight Ticket# P.O.No. Invoice Date Terms Due Date 11/30/2011 Net 30 12/30/2011 Description Quantity Net Weight Billable Units Rate Amount PCs 63 1752 0.00 0.00 Monitors CRT 33 1591 0.00 0.00 Monitors LCD 1 15 0.00 0.00 TVs CRT 16 1198 0.00 0.00 TVs LCD 1 78 0.00 0.00 Large Computer Peripherals:Printers,Fax Machines,Scanners 8 139 0.00 0.00 Large or Floor Model Copiers 3 378 0.00 0.00 Miscellaneous Items 2052 0.00 0.00 Total Weight:7203 lbs Total $0.00 Payments/Credits $0.00 Balance Due $0.00 Creative Recycling certifies that the above listed material has been processed in our R2/RIOS,ISO 14001,ISO 9001 and OHSAS 18001 certified facility in accordance with all Federal,State,and local law regulations.This document also serves as the Certificate of Media Destruction and/or Sanititzation verifying that all requested media from the material included in this inventory was destroyed in accordance with NIST 800-88 standards. Imo.°� AIL= CRS Holding of America 3110 Cherry Palm Dr Invoice Suite 330 Tampa,FL 33619 • Service Date Invoice# Phone# 813-386-6070 Fax#.- \ 10/12/2011 47110 ,' i' • • . Bill To Y Service Location Franklin County Solid Waste Franklin County Solid Waste Attn:Dan Wolfe 705 Municipal Drive 218N 2nd St Shippensburg,PA 17257 Chambersburg,PA 17268 BOL Weight Ticket# P.O. No. Invoice Date Terms Due Date 10/24/2011 Net 30 11/23/2011 Description Quantity Net Weight Billable Units Rate Amount PCs 39 1170 0.00 0.00 All in Ones 3 102 0.00 0.00 Monitors CRT 30 1500 0.00 0.00 Monitors LCD 19 380 0.00 0.00 TVs CRT 51 2958 0.00 0.00 TVs LCD 7 483 0.00 0.00 Large Computer Peripherals:Printers,Fax Machines,Scanners 25 500 0.00 0.00 Miscellaneous Items 3323 0.00 0.00 Total Weight:10416 lbs Total $0.00 Payments/Credits $0.00 Balance Due $0.00 If you have any questions or concerns regarding this invoice or need any additional assistance,please contact our Customer Service Department at customerservice @crserecycling.com.