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									          PORTAGE COUNTY SOLID WASTE MANAGEMENT DISTRICT
          2012 RECYCLING FACILITY/BROKER/PROCESSOR SURVEY

This survey of recycled material is being conducted by the Portage County Solid Waste Management
District as required by Ohio EPA in order to meet reporting requirements for the state-mandated
County Solid Waste Plan Update (Ohio Revised Code 3734.53 & 56).

Instructions: Please complete all of the following survey to the best of your ability. Only include solid
waste/recyclable data that is generated from within Portage County. Upon completion of this survey,
please return the survey by April 15, 2012. You may return the form by fax to 330-678-9405, save it
as a file from the website and email as an attachment to: dbanks@portageco.com or print and mail to:

Portage County Solid Waste Management District
3588 Mogadore Rd.
Kent, OH 44240

Confidentiality: The Portage County Solid Waste District will use the information in this survey for
summary purposes only and to identify types of wastes that may be further reduced or recycled.

If you have any questions regarding the completion of this survey, please call Dawn Banks at 330-678-
8808.



Part I – General Information

Company Name:

Mailing Address:

City, State, Zip:

Number of Employees:                                 SIC Code *

Survey Completed By:                                        Title:

Phone:                         Email Address **:                           Fax:



DISPOSAL: Channeling of waste material to destinations, such as landfills, which do not allow for
recovery of materials.

RECYCLING: The systematic collection, sorting, decontaminating and returning of waste materials to
commerce as commodities for use or exchange. Recycling also means to use, reuse, or reclaim a
material.

*If you do not know your SIC Code please check at www.osha.gov/pls/imis/sic_manual.html
**Please note that your email address will not be sold to any company or organization. Email
addresses will only be used for follow-up purposes by the Portage County Solid Waste District.


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Part 1- General Information continued:

1. What is the percentage of recyclables from Portage County accepted at your facility for residential,
commercial and industrial?

        % Residential                      % Commercial                           % Industrial




2. How do you define your facility? Please check all that apply.

   Recycling Broker              Scrap Yard                    Buyback Recycling Center

   Drop-Off Facility             Hauler Collection             Licensed Auto Salvage Dealer

3. Some companies have requested a list of Portage County Zip codes to help identify where their
material originated. Portage County Zip Codes are:

Atwater        44201          Garrettsville       44231            Ravenna         44266
Aurora         44202          Hiram               44234            Rootstown       44272
Brady Lake     44211          Kent 44240, 44242, 44243             Shalersville    44255
Charlestown    44266          Mantua        44021, 44255           Streetsboro     44241
Deerfield      44411          Nelson              44231            Wayland         44285
Diamond        44412          Randolph            44265            Windham         44288
Edinburg       44272
Freedom        44288

Some communities Zip codes overlap with other counties. Care should be taken to make sure the
material you are reporting originated in Portage County. Some overlapping Zip codes are:

Lake Milton         44429            Parkman       44080           Tallmadge       44278
Mogadore     44260, 44262            Reminderville 44202
North Benton        44449            Stow          44224

Part II – Please report all Solid Waste Recycled in 2011. This data is very important. Please enter
the quantities of each type of solid waste recycled. Enter the data in tons. For data conversions
assume 2000 pounds = 1 ton and 3 cubic yards = 1 ton.

Important Note:
We must try to prevent double counting of materials. In 2011 did your company purchase or receive
any materials from the Portage County Solid Waste Management District?      Yes     No

If your answer was yes, please subtract those tonnages purchased or received from the Portage
County Solid Waste Management District before reporting your numbers on TABLE 1. If you are not
able to subtract those tonnages, please check the box below so we can recalculate your numbers
upon receipt.

  The numbers on TABLE I INCLUDE tonnages purchased or received from Portage County Solid
Waste Management District.


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                      TABLE 1: SOLID WASTE RECYCLED IN 2011
                                                           RESIDENTIAL     INDUSTRIAL TONS
        TYPE OF RECYCLED MATERIAL                       /COMMERCIAL TONS      RECYCLED
                                                            RECYCLED
Newsprint
Cardboard
All Other Paper
Cloth & Fabrics
Wood Pallets & Packaging
Board ends and scrap
Sawdust
All Other Wood
Aluminum (cans & scrap)
Copper
All Other Nonferrous Metals
Steel (cans, drums, & scrap)
All Other Ferrous Metals
Glass
PETE (#1)
HDPE (#2)
LLDPE (#3)
PVC (#4)
Polypropylene (#5)
Polystyrene (#6)
Composite Plastics (#7)
Plastic Pallets & Packaging
All Other Plastics
Tires
All Other Rubber
Computers / Electronics
Stone / Clay / Sand
Non-Exempt Foundry Sand / Slag
Concrete
Composites
Lead Acid Batteries
All Other Batteries
Food Wastes (including napkins, coffee filters, etc.)
Litho / Photo Film
Furniture
Yard Waste
All Other Solid Waste
Other (specify)
Other (specify)

                   THANK YOU FOR COMPLETING THIS SURVEY!


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            PLEASE CALL US IF YOU HAVE ANY RECYCLING NEEDS 330-678-8808.

Please return your completed survey by April 15, 2012. You may fax to 330-678-9405, save it as a file
from the website and email as an attachment to: dbanks@portageco.com or print and mail to:

                                Portage County Solid Waste District
                                        3588 Mogadore Rd.
                                         Kent, OH 44240

         THIS FORM IS AVAILABLE ONLINE AT WWW.PORTAGERECYCLES.COM




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