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* First Name:
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* Address 1:
Address 2:
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1. What is your company's primary business? *(please circle only one from answers A-X below)

 
Private Sector
AA. Landfill
BB. Waste Haulers & Transfer Stations
CC. Recycling/Recovery Facilities
DD. Composting
EE. Scrap Dealer/Processor/Broker
FF. Other
 
Public Sector
GG. Landfill
HH. Waste Haulers & Transfer Stations
II. Recycling/Recovery Facilities
JJ. Municipal (City, Twp, Village) Gov't(incl. Public Works & Water/Wastewater Depts.)
KK. County Gov't
LL. State Gov't
MM. Regulatory/Compliance Agency
NN. Other
 
Industrial/Commercial Waste Generators
creators of waste in the following areas
OO. Construction
PP. Agriculture
QQ. Manufacturing (SIC's 20-39)
RR. Utility Company (including Gas, Electric, Oil & Power Generation)
SS. Service Industries (Retail, Hotels, Airlines, Food Service, Medical)
TT. Equipment Distributor/Dealer
UU. Other
 
Other
VV. Environmental Consulting
WW. Engineering/Attorney/Finance/Insurance
XX. Others Allied to the Field, including Schools, Associations

2. Which waste streams does your company/agency work with? (Check ALL that apply)

AA. Solid
BB. Air
CC. Water/Wastewater
DD. Hazardous
EE. None of the Above

3. What is your primary job function? *

AA. General/Corporate Mgt/Gov't Leaders
(inc. CEO, COO, Directors, Owners, Partners, Mayors, City Council, & other related functions)
BB. Operations Management
(inc. Public Works Mgrs, City Managers, Corporate Compliance Mgrs, EHS Mgrs, Field & District Managers & Supervisors, Landfill, Fleet & Plant Managers)
CC. Engineering
DD. Consulting
EE. Field Personnel - General
FF. Sales or Marketing
GG. Purchasing
HH. Other

4. Do you recommend, specify or approve purchases of equipment and/or services in the waste industry?     

Yes
No

5. In addition to the primary business you circled in item 1, what other business areas are you involved with? (check all that apply from answers A-X below)

 
Private Sector
AA. Landfill
BB. Waste Haulers & Transfer Stations
CC. Recycling/Recovery Facilities
DD. Composting
EE. Scrap Dealer/Processor/Broker
FF. Other
 
Public Sector
GG. Landfill
HH. Waste Haulers & Transfer Stations
II. Recycling/Recovery Facilities
JJ. Municipal (City, Twp, Village) Gov't(incl. Public Works & Water/Wastewater Depts.)
KK. County Gov't
LL. State Gov't
MM. Regulatory/Compliance Agency
NN. Other
 
Industrial/Commercial Waste Generators
creators of waste in the following areas
OO. Construction
PP. Agriculture
QQ. Manufacturing (SIC's 20-39)
RR. Utility Company (including Gas, Electric, Oil & Power Generation)
SS. Service Industries (Retail, Hotels, Airlines, Food Service, Medical)
TT. Equipment Distributor/Dealer
UU. Other
 
Other
VV. Environmental Consulting
WW. Engineering/Attorney/Finance/Insurance
XX. Others Allied to the Field, including Schools, Associations

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