Agency Recycling Reporting

Welcome to the DGS Bureau of Surplus and Supplies recycling reporting tool. This survey is designed to collect information about recycling activities from all state agencies in support of the reporting requirements specified in Management Directive 205.22.

All agency locations are expected to report recycling activities on a monthly basis.

Section 1: Location and Reporter Information

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* 1. Reporting Month/Year

	Month	Year
Choose the month/year when the reported data was recycled	Choose the month/year when the reported data was recycled Month menu	Choose the month/year when the reported data was recycled Year menu

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* 2. Agency

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* 3. Bureau/Office

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* 4. Building Location Address

Address 1:

Address 2:

City:

Zip Code:

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* 5. Location County

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* 6. Data Reporter Information

Reporter Name:

Reporter Email:

Reporter Phone:

Section 2: Please report the total amount recycled for the items listed below.

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* 7. Bottles and Cans

Yes

If Yes, please enter the approximate pounds (if known)

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* 8. Paper Products: Report Total Amount Recycled in Pounds

Office Paper (lbs.)

Newspaper (lbs.)

Cardboard (lbs.)

Books (lbs.)

Other Paper (lbs.)

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* 9. Is any money directly received for recycling any items in Section 2?

If yes, which items?

Section 3: Please report the total amount recycled and the recycling vendor used (if applicable).
The vendors listed are available through statewide contracts and should be utilized when possible.

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* 10. Aluminum (lbs.)

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* 11. Aluminum Vendor

If Other, please specify

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* 12. Antifreeze (gal.)

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* 13. Antifreeze Vendor

If Other, please specify

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* 14. Batteries: Rechargeable (lbs.)

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* 15. Batteries: Rechargeable Vendor

If Other, please specify

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* 16. Confidential Shredded Paper (lbs.)

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* 17. Confidential Shredded Paper Vendor

If Other, please specify

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* 18. E-Waste (lbs.)

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* 19. E-Waste Vendor

If Other, please specify

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* 20. Ferrous Metal (lbs.)

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* 21. Ferrous Metal Vendor

If Other, please specify

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* 22. Oil (gal.)

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* 23. Oil Vendor

If Other, please specify

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* 24. Tires/Rubber (lbs.)

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* 25. Tires/Rubber Vendor

If Other, please specify

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* 26. Toner Cartridges (lbs.)

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* 27. Toner Cartridges Vendor

If Other, please specify

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* 28. Is any money directly received for recycling any items in Section 3?

If yes, which items?

Section 4: Please report the total amount recycled and recycling vendor used (if applicable).

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* 29. Ballasts

Quantity (each)

Recycling Vendor, if known

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* 30. Batteries: Alkaline

Quantity (lbs.)

Recycling Vendor, if known

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* 31. Batteries: Lead Acid

Quantity (lbs.)

Recycling Vendor, if known

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* 32. Batteries: NiCad

Quantity (lbs.)

Recycling Vendor, if known

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* 33. Media / Secure Destruction (e.g. CDs, floppy disks, ID badges, etc.)

Quantity (lbs.)

Recycling Vendor, if known

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* 34. Mercury Containing Bulbs

Quantity (each)

Recycling Vendor, if known

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* 35. Pallets

Quantity (each)

Recycling Vendor, if known

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* 36. Plastic (Drums or Other)

Quantity (lbs.)

Recycling Vendor, if known

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* 37. Shrink Wrap

Quantity (lbs.)

Recycling Vendor, if known

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* 38. Other Recycled Material #1

Item Name:

Quantity:

Measurement:

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* 39. Other Recycled Material #2

Item Name:

Quantity:

Measurement:

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* 40. Other Recycled Material #3

Item Name:

Quantity:

Measurement:

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* 41. Is any money directly received for recycling any items in Section 4?

If yes, which items?