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Data Collection Form
Data Collection
Northstar Recycling's Online Client Data Collection Form
Step
1
of
6
16%
Company Name
*
Street Address
Facility Type
Select One ...
ASC Plant
Dairy
FeedMill
RSA Plant
Other
Site Contact Information
Site Contact
Email
Phone
General Volumes
Approximately how much waste do you send to landfill per month?
*
Approximately how much do you recycle per month (total)?
*
MATERIAL DETAILS:
This information is meant to help identify the types of materials frequently found in your waste and recycling streams. Please provide as much detail as possible and leave any unknown or irrelevant sections blank.
Paper Commodities
Cardboard
Yes
No
Average Volumes per Month (Cardboard)
Collection Method (Cardboard)
Select One ...
Baled
Compactor
Loose in Gaylords
Palletized
Other
Outlet Type (Cardboard)
Select One ...
Landfill
Recycling
Waste-to-Energy
Other
Current Vendor's Name (Cardboard)
Current Pricing (Cardboard)
Cores
Yes
No
Average Volumes per Month (Cores)
Collection Method (Cores)
Select One ...
Baled
Compactor
Loose in Gaylords
Palletized
Other
Outlet Type (Cores)
Select One ...
Landfill
Recycling
Waste-to-Energy
Other
Outlet Type (Cores)
Select One ...
Landfill
Recycling
Waste-to-Energy
Other
Current Vendor's Name (Cores)
Current Pricing (Cores)
Kraft Multiwall Bags
Yes
No
Average Volumes per Month (Kraft Multiwall Bags)
Collection Method (Kraft Multiwall Bags)
Select One ...
Baled
Compactor
Loose in Gaylords
Palletized
Other
Outlet Type (Kraft Multiwall Bags)
Select One ...
Landfill
Recycling
Waste-to-Energy
Other
Current Vendor's Name (Kraft Multiwall Bags)
Current Pricing (Kraft Multiwall Bags)
Kraft Poli Multiwall Bags
Yes
No
Average Volumes per Month (Kraft Poli Multiwall Bags)
Collection Method (Kraft Poli Multiwall Bags)
Select One ...
Baled
Compactor
Loose in Gaylords
Palletized
Other
Outlet Type (Kraft Poli Multiwall Bags)
Select One ...
Landfill
Recycling
Waste-to-Energy
Other
Current Vendor's Name (Kraft Poli Multiwall Bags)
Current Pricing (Kraft Poli Multiwall Bags)
Mixed Paper
Yes
No
Average Volumes per Month (Mixed Paper)
Collection Method (Mixed Paper)
Select One ...
Baled
Compactor
Loose in Gaylords
Palletized
Other
Outlet Type (Mixed Paper)
Select One ...
Landfill
Recycling
Waste-to-Energy
Other
Current Vendor's Name (Mixed Paper)
Current Pricing (Mixed Paper)
Sorted Office Paper
Yes
No
Average Volumes per Month (Sorted Office Paper)
Collection Method (Sorted Office Paper)
Select One ...
Baled
Compactor
Loose in Gaylords
Palletized
Other
Outlet Type (Sorted Office Paper)
Select One ...
Landfill
Recycling
Waste-to-Energy
Other
Current Vendor's Name (Sorted Office Paper)
Current Pricing (Sorted Office Paper)
Other Paper
Please use the blank rows below to add any additional paper materials you notice consistently in your waste/recycling streams.
Other Paper #1:
Average Volumes per Month (Other Paper #1)
Collection Method (Other Paper #1)
Select One ...
Baled
Compactor
Loose in Gaylords
Palletized
Other
Outlet Type (Other Paper #1)
Select One ...
Landfill
Recycling
Waste-to-Energy
Other
Current Vendor's Name (Other Paper #1)
Current Price (Other Paper #1)
Other Paper #2:
Average Volumes per Month (Other Paper #2)
Collection Method (Other Paper #2)
Select One ...
Baled
Compactor
Loose in Gaylords
Palletized
Other
Outlet Type (Other Paper #2)
Select One ...
Landfill
Recycling
Waste-to-Energy
Other
Current Vendor's Name (Other Paper #2)
Current Price (Other Paper #2)
Other Paper #3:
Average Volumes per Month (Other Paper #3)
Collection Method (Other Paper #3)
Select One ...
Baled
Compactor
Loose in Gaylords
Palletized
Other
Outlet Type (Other Paper #3)
Select One ...
Landfill
Recycling
Waste-to-Energy
Other
Current Vendor's Name (Other Paper #3)
Current Price (Other Paper #3)
Other Paper #4:
Average Volumes per Month (Other Paper #4)
Collection Method (Other Paper #4)
Select One ...
Baled
Compactor
Loose in Gaylords
Palletized
Other
Outlet Type (Other Paper #4)
Select One ...
Landfill
Recycling
Waste-to-Energy
Other
Current Vendor's Name (Other Paper #4)
Current Price (Other Paper #4)
Other Paper #5:
Average Volumes per Month (Other Paper #5)
Collection Method (Other Paper #5)
Select One ...
Baled
Compactor
Loose in Gaylords
Palletized
Other
Outlet Type (Other Paper #5)
Select One ...
Landfill
Recycling
Waste-to-Energy
Other
Current Vendor's Name (Other Paper #5)
Current Price (Other Paper #5)
Plastics Commodities
HDPE - Buckets, Drums, & Jugs
Yes
No
Average Volumes per Month (HDPE - Buckets, Drums, & Jugs)
Collection Method (HDPE - Buckets, Drums, & Jugs)
Select One ...
Baled
Compactor
Loose in Gaylords
Palletized
Other
Outlet Type (HDPE - Buckets, Drums, & Jugs)
Select One ...
Landfill
Recycling
Waste-to-Energy
Other
Current Vendor's Name (HDPE - Buckets, Drums, & Jugs)
Current Price (HDPE - Buckets, Drums, & Jugs)
LDPE
Yes
No
Average Volumes per Month (LDPE)
Collection Method (LDPE)
Select One ...
Baled
Compactor
Loose in Gaylords
Palletized
Other
Outlet Type (LDPE)
Select One ...
Landfill
Recycling
Waste-to-Energy
Other
Current Vendor's Name (LDPE)
Current Price (LDPE)
Multilayer Film
Yes
No
Average Volumes per Month (Multilayer Film)
Collection Method (Multilayer Film)
Select One ...
Baled
Compactor
Loose in Gaylords
Palletized
Other
Outlet Type (Multilayer Film)
Select One ...
Landfill
Recycling
Waste-to-Energy
Other
Current Vendor's Name (Multilayer Film)
Current Price (Multilayer Film)
PET - Pallet Strapping
Yes
No
Average Volumes per Month (PET - Pallet Strapping)
Collection Method (PET - Pallet Strapping)
Select One ...
Baled
Compactor
Loose in Gaylords
Palletized
Other
Outlet Type (PET - Pallet Strapping)
Select One ...
Landfill
Recycling
Waste-to-Energy
Other
Current Vendor's Name (PET - Pallet Strapping)
Current Price (PET - Pallet Strapping)
Stretch Film
Yes
No
Average Volumes per Month (Stretch Film)
Collection Method (Stretch Film)
Select One ...
Baled
Compactor
Loose in Gaylords
Palletized
Other
Outlet Type (Stretch Film)
Select One ...
Landfill
Recycling
Waste-to-Energy
Other
Current Vendor's Name (Stretch Film)
Current Price (Stretch Film)
PP - Supersacks
Yes
No
Average Volumes per Month (PP - Supersacks)
Collection Method (PP - Supersacks)
Select One ...
Baled
Compactor
Loose in Gaylords
Palletized
Other
Outlet Type (PP - Supersacks)
Select One ...
Landfill
Recycling
Waste-to-Energy
Other
Current Vendor's Name (PP - Supersacks)
Current Price (PP - Supersacks)
Totes
Yes
No
Average Volumes per Month (Totes)
Collection Method (Totes)
Select One ...
Baled
Compactor
Loose in Gaylords
Palletized
Other
Outlet Type (Totes)
Select One ...
Landfill
Recycling
Waste-to-Energy
Other
Current Vendor's Name (Totes)
Current Price (Totes)
Misc. Plastics
Yes
No
Average Volumes per Month (Misc. Plastics)
Collection Method (Misc. Plastics)
Select One ...
Baled
Compactor
Loose in Gaylords
Palletized
Other
Outlet Type (Misc. Plastics)
Select One ...
Landfill
Recycling
Waste-to-Energy
Other
Current Vendor's Name (Misc. Plastics)
Current Price (Misc. Plastics)
Other Plastic
Please use the blank rows below to add any additional plastic materials you notice consistently in your waste/recycling streams.
Other Plastic #1
Average Volumes per Month (Other Plastic #1)
Collection Method (Other Plastic #1)
Select One ...
Baled
Compactor
Loose in Gaylords
Palletized
Other
Outlet Type (Other Plastic #1)
Select One ...
Landfill
Recycling
Waste-to-Energy
Other
Current Vendor's Name (Other Plastic #1)
Current Price (Other Plastic #1)
Other Plastic #2
Average Volumes per Month (Other Plastic #2)
Collection Method (Other Plastic #2)
Select One ...
Baled
Compactor
Loose in Gaylords
Palletized
Other
Outlet Type (Other Plastic #2)
Select One ...
Landfill
Recycling
Waste-to-Energy
Other
Current Vendor's Name (Other Plastic #2)
Current Price (Other Plastic #2)
Metal Commodities
Metal Barrels
Yes
No
Average Volumes per Month (Metal Barrels)
Collection Method (Metal Barrels)
Select One ...
Baled
Compactor
Loose in Gaylords
Palletized
Other
Outlet Type (Metal Barrels)
Select One ...
Landfill
Recycling
Waste-to-Energy
Other
Current Vendor's Name (Metal Barrels)
Current Price (Metal Barrels)
Mixed Metals
Yes
No
Average Volumes per Month (Mixed Metals)
Collection Method (Mixed Metals)
Select One ...
Baled
Compactor
Loose in Gaylords
Palletized
Other
Outlet Type (Mixed Metals)
Select One ...
Landfill
Recycling
Waste-to-Energy
Other
Current Vendor's Name (Mixed Metals)
Current Price (Mixed Metals)
Misc. Steel
Yes
No
Average Volumes per Month (Misc. Steel)
Collection Method (Misc. Steel)
Select One ...
Baled
Compactor
Loose in Gaylords
Palletized
Other
Outlet Type (Misc. Steel)
Select One ...
Landfill
Recycling
Waste-to-Energy
Other
Current Vendor's Name (Misc. Steel)
Current Price (Misc. Steel)
Tin
Yes
No
Average Volumes per Month (Tin)
Collection Method (Tin)
Select One ...
Baled
Compactor
Loose in Gaylords
Palletized
Other
Outlet Type (Tin)
Select One ...
Landfill
Recycling
Waste-to-Energy
Other
Current Vendor's Name (Tin)
Current Price (Tin)
Other Metal
Please use the blank rows below to add any additional metal materials you notice consistently in your waste/recycling streams.
Other Metal #1
Average Volumes per Month (Other Metal #1)
Collection Method (Other Metal #1)
Select One ...
Baled
Compactor
Loose in Gaylords
Palletized
Other
Outlet Type (Other Metal #1)
Select One ...
Landfill
Recycling
Waste-to-Energy
Other
Current Vendor's Name (Other Metal #1)
Current Price (Other Metal #1)
Other Metal #2
Average Volumes per Month (Other Metal #2)
Collection Method (Other Metal #2)
Select One ...
Baled
Compactor
Loose in Gaylords
Palletized
Other
Outlet Type (Other Metal #2)
Select One ...
Landfill
Recycling
Waste-to-Energy
Other
Current Vendor's Name (Other Metal #2)
Current Price (Other Metal #2)
Other Commodities
Please use the blank rows below to add any additional materials not covered above (such as information regarding organic waste).
Other Commodity #1
Average Volumes per Month (Other Commodity #1)
Collection Method (Other Commodity #1)
Select One ...
Baled
Compactor
Loose in Gaylords
Palletized
Other
Outlet Type (Other Commodity #1)
Select One ...
Landfill
Recycling
Waste-to-Energy
Other
Current Vendor's Name (Other Commodity #1)
Current Price (Other Commodity #1)
Other Commodity #2
Average Volumes per Month (Other Commodity #2)
Collection Method (Other Commodity #2)
Select One ...
Baled
Compactor
Loose in Gaylords
Palletized
Other
Outlet Type (Other Commodity #2)
Select One ...
Landfill
Recycling
Waste-to-Energy
Other
Current Vendor's Name (Other Commodity #2)
Current Price (Other Commodity #2)
Other Commodity #3
Average Volumes per Month (Other Commodity #3)
Collection Method (Other Commodity #3)
Select One ...
Baled
Compactor
Loose in Gaylords
Palletized
Other
Outlet Type (Other Commodity #3)
Select One ...
Landfill
Recycling
Waste-to-Energy
Other
Current Vendor's Name (Other Commodity #3)
Current Price (Other Commodity #3)
Other Commodity #4
Average Volumes per Month (Other Commodity #4)
Collection Method (Other Commodity #4)
Select One ...
Baled
Compactor
Loose in Gaylords
Palletized
Other
Outlet Type (Other Commodity #4)
Select One ...
Landfill
Recycling
Waste-to-Energy
Other
Current Vendor's Name (Other Commodity #4)
Current Price (Other Commodity #4)
Other Commodity #5
Average Volumes per Month (Other Commodity #5)
Collection Method (Other Commodity #5)
Select One ...
Baled
Compactor
Loose in Gaylords
Palletized
Other
Outlet Type (Other Commodity #5)
Select One ...
Landfill
Recycling
Waste-to-Energy
Other
Current Vendor's Name (Other Commodity #5)
Current Price (Other Commodity #5)
EQUIPMENT DETAILS
This information is meant to help identify the type(s) of equipment used at this facility. Please provide as much detail as possible and leave any unknown or irrelevant sections blank.
Does your site have compactors?
Yes
No
How many compactors?
How often are the compactors pulled?
Who owns the compactors?
Does your site have balers?
Yes
No
How many balers?
Who owns the balers?
Does your site have front end loaders?
Yes
No
How many front end loaders?
Who owns the front end loaders?
Does your site have roll off containers?
Yes
No
How many front roll off containers?
Who owns the roll off containers?
Does your site have drop trailers?
Yes
No
How many front drop trailers?
Who owns the drop trailers?
What is the average drop trailer load weight?
Does your site have live loads?
Yes
No
How many live loads per month?
What is the average live load weight?
Does your site have other specialty equipment for handling waste/recyclables?
Yes
No
Describe
Is any service/equipment at your site under contract?
Yes
No
Describe