Waste Audit/Recycling Plan for
Industrial, Commercial & Institutional Premises

Please fill the form out completely in the indicated spaces.
Additional space is provided for further comments at the end of the form.

For further information please see the Recycling section of our website or call Public Works at 376-4274.

Please note: ALL sections should be reviewed and completed

1. BUSINESS/BUILDING

Please provide the address information for the business, industry, institution or building for which you are completing the Waste Audit/Recycling plan. Required fields are marked with an asterisk *.

Business Name *
Number of Employees
Street Address
P.O. Box
Postal Code
Phone* 519-     Fax: 519-
Other Contact
Web site:

2. Contact Person

Please indicate the person at your company to whom we should send correspondence regarding recycling.

Name *
Title
Phone* 519-     
Email*
Mailing Address (if different from above)
Street Address
P.O. Box     Postal Code

3. Type of Business

Office Industry Restaurant Retail
Institution School Laboratory Service
Non-profit Health Care Veterinary Care Home Based
Other          

Home Occupation Business: If you operate a home occupation business please stop here and submit the form. It is assumed that a home occupation business will make full use of the recycling programs available to the homeowners and mandated by the Waste Management By-Law.

4. Garbage Removal

Does your company/institution manage your own garbage removal or is this service provided by your landlord/building owner or manager?
We manage our own garbage removal:
Our landlord/building manager looks after garbage disposal:
   
How do you dispose of your garbage? (YES or NO & EXPLAIN)
Yes No Placed at curbside for City pick-up:
Yes No Collected by in-house cleaning staff:
Yes No Collected by contracted cleaning staff:
  Name of cleaning contractor:
Yes No Picked up by a private hauler:
  Name of hauler:
Yes No Taken to Transfer Station by your staff:

5. Estimate of Garbage Generation

Check your company’s recent garbage disposal bills to determine the size of container that you rent for disposal. Waste management companies still determine container size in Cubic Yards so we use Cubic Yards as the measurement throughout this audit to eliminate repeated conversions.

Please make calculations below manually and enter in the totals.

Container Type
#
X

Container Size (In Cubic Yards)*

A

X

Estimated % filled at pick-up

B

X

Estimated # of Monthly Pick-ups

C

=

Estimated Volume (Cubic Yards)

(A x B) x C

Dumpster
X X X  
Compactor
X X X  
Garbage Bag
X X X  
Garbage Can
X X X  
Total Waste Generated per Month:
cubic yards

**Additional comments may be made later in the form or by clicking here

Comments:

6. Estimate of Recycyclables Generation

Recyclables may be generated by the business/institution or may be brought on to your premises by your employees and/or customers. For each material listed below please estimate the quantity that flows through your facility from all sources and estimate the fate of each material.

Table 2: Estimate of Recyclable Generation

Please complete column E manually X 12 months

A B C D E F

MATERIALS

SOURCE

(1,2,3 - see below)

AMOUNT

(cu.yd/month)

TOTAL CUBIC YARDS PER YEAR

C X 12

MONTHS PER YEAR

x 12

ESTIMATED % OF TOTAL WASTE

Corrugated cardboard

1 2 3 X 12 = %
Boxboard
(paper cups) 		1 2 3 X 12 = %
Office paper 1 2 3 X 12 = %
Newspaper & Magazines 1 2 3 X 12 = %
Glass Bottles & Jars 1 2 3 X 12 = %
Steel Cans 1 2 3 X 12 = %
Pop Cans 1 2 3 X 12 = %
# 1 to 5 and # 7 Plastics 1 2 3 X 12 = %
# 6 Polystyrene 1 2 3 X 12 = %
Styrofoam 1 2 3 X 12 = %
Other: 1 2 3 X 12 = %
Other: 1 2 3 X 12 = %
Other: 1 2 3 X 12 = %
Other: 1 2 3 X 12 = %
Other: 1 2 3 X 12 = %
TOTALS    

Note: Please total columns C, E & F manually

A: Examples of material types are included in the Audit Guide under Recyclable Materials.

B: Please include all the relevant Waste Source Codes in Column B above:
          1) Business/Facility Operations 2) Employees 3) Clients/Customers

C: Measurements of common recyclable materials are included in the Audit Guide under Volume Measurements.

Please indicate how materials are currently collected, stored, disposed of or recycled:

7. Recycling Plan

Please fill out TABLE 3, RECYCLING PLAN below, for any materials that you indicated are generated at your facility on TABLE 2, ESTIMATE OF RECYCLABLES GENERATION . On TABLE 3, please include existing recycling and proposed recycling programs. If you do not have a firm start date for proposed recycling programs, enter “pending” under Program Start-up Date. A description of the recycling services available from the City is included in the accompanying Audit Guide.

A

B

C

D

E

MATERIAL

(FROM TABLE 2)

GENERATION LOCATION(S) ON PREMISES

COLLECTION LOCATION

CITY OR PRIVATE COLLECTION OR DROP OFF

PROGRAM START UP DATE(S)

B

Please indicate in Column B where on your premises this material is generated, by inserting one or more of the following numbers:

1) Desk or work station 6) Customer area of restaurant
2) Mailing or Copy room 7) Shipping/Receiving
3) Employee lunch room 8) Living quarters
4) Food preparation area 9) Common areas
5) Service counter 10) Other (please specify)

C

Please indicate in Column C where on your premises this material will be collected. Either write in the location or insert one or more of the numbers used in Column B.

D

Please indicate in Column D whether this material is or will be picked up under the City program, by a private hauler (please include name of hauler) or be delivered by your staff or a contractor to the City Recycling Depot.

Please indicate how you will notify your staff and clients of the recycling requirements:

8. Declaration

I understand that recycling is mandatory in Owen Sound. I certify the above items will be recycled in accordance with City of Owen Sound By-Law # 2006-01. We will follow the Recycling Plan described above and notify the City in writing if it is altered.

Name:

Title

Signature

Checking this box is the equivalent of signing the printed document.

Date

If you have questions or comments about filling out this form, please contact Public Works at 376-4274.

Comments

THANK YOU FOR COMPLETING THIS AUDIT

Return to: Chris Hughes, Environmental Superintendent
environment@e-owensound.com

Public Works Division 808 2nd Avenue East, Owen Sound, Ontario N4K 2H4
FAX: 519-372-1209 PHONE: 519-376-4274

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