Waste & Recycling Site Survey Form

1. Please complete the following Site Survey Form to the best of your knowledge.

2. In addition to this information we will need complete copies of all your waste and recycling invoices; for locations with compactors we require the past twelve (12) months of invoices and for locations with front or rear load containers we will need the most recent past three (3) months. Please be sure to send complete copies including all the pages of your invoices. We will also need complete copies of any and all waste and recycling service contracts.

3. Please forward copies of any and all recycling plans or reports filed with any governmental agencies or organizations as well as any building or internal Recycling Programs currently in place.

4. Please forward copies of your invoices, recycling plans or reports and contracts either by email to BLUE.PLANET@ME.COM; Facsimile to 410-263-2713 or send via courier to Nicole Weber, BLUE PLANET, 1035 Cedar Ridge, Suite 100, Annapolis, Maryland 21403.


Site Information
* email
Site Name
Site Address
Site Address
Site City
Site County
Site State
Site Zip Code

Site Notes
Total Leasable SF
Total Retail SF
Other
Is this building LEED Certified?
Yes No
If Yes list level
If No are you planning to apply?
Yes No
Contact Information
Portfolio Manager
Name
Phone
Fax
Office Location
Email
Regional Manager
Name
Phone
Fax
Office Location
Email
Property Manager
Name
Phone
Fax
Office Location
Email
Assitant PM
Name
Phone
Fax
Office Location
Email
Head Engineer
  
Name
Phone
Fax
Office Location
Email
 
Current Recycling

Check All That Apply
Office Paper
Cardboard
Bottles & Cans
E-Waste
Fluorescent Light Tubes & Bulbs
Other-(list below)
Monthly Economics
Solid Waste (service)
Recycling Service
Compactor Service  
Haul Charge
Disposal Charge
Rental Charge
Recycling Office Paper
Recycling Cardboard
Recycling Bottles & Cans
Recycling E-Waste
Recycling Fluorescent Lights
Primary Solid Waste Trash Service
Container Type
If Other Describe
Quantity
Container Size
If Other Describe
Container Ownership
Pick-up Frequency
1st Alternate Solid Waste Trash Service
Container Type
If Other Describe
Quantity
Container Size
If Other Describe
Container Ownership
Pick-up Frequency
2nd Alternate Solid Waste Trash Service
Container Type
If Other Describe
Quantity
Container Size
If Other Describe
Container Ownership
Pick-up Frequency
Recycling Office Paper (COP)
Container Type
If Other Describe
Quantity
Container Size
If Other Describe
Container Ownership
Pick-up Frequency
Recycling – Cardboard (OCC)
Container Type
If Other Describe
Quantity
Container Size
If Other Describe
Container Ownership
Pick-up Frequency
Recycling – Commingled Bottles & Cans (CMG)
Container Type
If Other Describe
Quantity
Container Size
If Other Describe
Container Ownership
Pick-up Frequency
Recycling – Fluorescent Lights
Container Type
If Other Describe
Quantity
Container Size
If Other Describe
Container Ownership
Pick-up Frequency
Recycling – Electronic Waste
Container Type
If Other Describe
Quantity
Container Size
If Other Describe
Container Ownership
Pick-up Frequency
Recycling – Batteries & Ballast
Container Type
If Other Describe
Quantity
Container Size
If Other Describe
Container Ownership
Pick-up Frequency
Additional Comments

 
*Required field