Lawrence-Scioto Solid Waste Management District

 
 
 


Residential Solid Waste Survey Form
for Calendar Year Data


*Required Information

*Name
*Address
*City
*County
*Zip Code
*Email
Number in Household
Residential Waste Haulers Name
Does hauler provide recycling service?
Yes     No
Does your household recycle?
Yes     No
Do you plan to start recycling?
Yes     No

Describe your recycling/waste reduction system

Do you use the recycling trailers provided by the solid waste district?
Yes     No

If you recycle wood, please describe what you recycle it for?
(Example: firewood)

If you recycle tires, please list where, and what they are used for if you know? (chipped for rubber mulch, etc.)

If you recycle food waste, please describe what it is used for? (Example: compost/feed animals)

Please indicate Disposal, Recycled and Recycler/Hauler in Tons

Waste Type
Office Paper
(White and or Mixed)
Disposal   Recycled   Recycler/Hauler
Computer paper
(need definition
)
Disposal   Recycled   Recycler/Hauler
Cardboard
Disposal   Recycled   Recycle/Hauler
Newspaper / Magazines
Disposal   Recycled   Recycler/Hauler
Aluminum Cans
Disposal   Recycled   Recycler/Hauler
Steel Cans
Disposal   Recycled   Recycler/Hauler
Glass Containers
Disposal   Recycled   Recycler/Hauler
P.E.T.E Plastic Bottles
Disposal   Recycled   Recycler/Hauler
H.D.P.E Plastic Bottles
Disposal   Recycled   Recycler/Hauler
Ferrous Metals (steel)
Disposal   Recycled   Recycler/Hauler
Non-Ferrous Metals (Brass, Copper, etc.)
Disposal   Recycled   Recycler/Hauler
Food Products (Composed or Used for Animal Food)
Disposal   Recycled   Recycler/Hauler
Cooking Oils / Fats
Disposal   Recycled   Recycler/Hauler
Wood (Shipping Pallets)
Disposal   Recycled   Recycle/Hauler
Fabric / Textiles
Disposal   Recycled   Recycler/Hauler
Scrap Tires
Disposal   Recycled   Recycler/Hauler

Co-Mingled Recycled (glass, plastic, paper)

Disposal   Recycled   Recycler/Hauler
Mixed Solid Waste
Disposal                                Recycler/Hauler
Other (Describe)
Disposal   Recycled   Recycler/Hauler
Other (Describe)
Disposal   Recycled   Recycler/Hauler
Totals
          Tons disposal            Tons recycled
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