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A member of

F006 Recycling Survey Form

Enter Your Name1:
Enter Your Company Name1:
Enter Your Company's Primary Business Activity1: PWB Manufacturing
Metal Finishing
Other:
Enter Your E-mail Address1:
Enter Your City:
Enter Your State:
Enter Your Zip:
Qty of Sludge Generated in 1998 (lbs/yr):lbs.
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Type of Storage Container Used: Drum
Roll-Off
Super Sacks
Other:
Enter per cent solids:%
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Dewatering Technology Used (check all that apply): Filter Press
Sludge Dryer
Other:
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Sludge Analytical Data:
Cadmium: mg/l or mg/kg
Chromium: mg/l or mg/kg
Copper: mg/l or mg/kg
Cyanide: mg/l or mg/kg
Lead: mg/l or mg/kg
Nickel: mg/l or mg/kg
Silver: mg/l or mg/kg
Zinc: mg/l or mg/kg
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Name of Company Receiving Sludge:
Location of Company Receiving Sludge (City):
Location of Company Receiving Sludge (State):
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Is Your F006 Recycled
Sent to waste broker
Landfilled
Other:
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What distance is your sludge transported (one way): miles
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Annual costs for managing your F006 sludge:
Analytical:$/yr
Transportation:$/yr
Disposal:$/yr
Containers:$/yr
Tax:$/yr
Other:$/yr
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Additional information or clarification:
1 Optional. Entry not required.