2020 Municipal Building Waste Audit Form

Philadelphia Municipal Building Waste Audit Form
Property Name*
City Department*
Property Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Contact Name *

First NameLast Name
Contact Title*
Contact Phone Number*

Area CodePhone Number
Contact E-mail*
Manager Name*

First NameLast Name
Manager Phone Number*

Area CodePhone Number
Manager E-mail*
Property Type*

Airport facilityFire houseGarage/maintenance facilityHealth centerJudiciary courtLaboratoryLibraryNursing homeOfficeOlder adult centerPlayground buildingPolice stationPrison facilityPublic utility facilityRecreation centerTransportation stationWarehouseOther
What types of materials does this facility generate? Please check all that apply.*

Solid Waste (Trash)Single Stream Recycling (Could include #1, #2, & #5 plastic bottles and containers, aluminum and steel cans, glass bottles and jars, office paper, cardboard, and aseptic cartons)*Electronic Waste (Desktop and laptop computers and monitors, televisions, cell phones, and computer peripherals such as printers, keyboards, mice, etc.)*Source Separated Recycling (Could include any of the single stream materials listed above and/or organic waste)Waste Cooking Oil*Used Motor Oil*Universal Waste (fluorescent bulbs, batteries, pesticides, etc.)*Hazardous Waste (solvents, oil-based paint, etc.)*Medical Waste*Construction and Demolition (C&D) DebrisFood WasteYard and Leaf WastePolystyrene (Styrofoam™)Plastic BagsWoodMetalClothingEdible, Unopened Packaged Food
*These materials are mandated by state and/or municipal law to be recycled and/or disposed of properly according to industry-specific regulations.

Please fill out the section below to provide information about the service providers collecting materials from your facility (or locations where you drop-off materials to be disposed, recycled, or donated). If your facility does not generate a particular material, leave that row blank.*

	Name of Service Provider (Hauler or Drop-off Location)
Solid Waste (Trash)
Single Stream Recycling
Electronic Waste
Source Separated Recycling
Waste Cooking Oil
Used Motor Oil
Universal Waste
Hazardous Waste
Medical Waste
Construction & Demolition Debris
Food Waste
Yard and Leaf Waste
Polystyrene (Styrofoam™)
Plastic Bags
Wood
Metal
Clothing
Edible, Unopened Packaged Food

Do you want to find a way to recycle, donate, or compost any of the following materials at your facility?*

Food WasteYard and Leaf WastePolystyrene (Styrofoam™)Plastic BagsWoodMetalClothingEdible, Unopened Packaged FoodOther
Do you need to find a hauler for one of the above listed materials? Visit the haulers list to find a Philadelpia hauling company.
What challenges is your department facing in trying to reduce waste and increase recycling at your facility? These comments will be used to inform future recycling and waste diversion efforts in Philadelphia.*
Is your site department facing any new waste or litter-related challenges during the COVID-19 pandemic? Are there any additional resources you could use to better manage these issues?*
Thank you for completing the Philadelphia Municipal Building Waste Audit form. Click the "Submit Form" button below to submit your form. A confirmation email containing your completed form will be sent to the address you entered into the "Contact Email" field upon submission.
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Philadelphia Municipal Building Waste Audit Form