City of Ceres (209) 538-5792
Commercial and Multi-Family Recycling Questionnaire
Please complete the following form and submit to City of Ceres 		2012   City Seal
 

Name of Business or Residential Community:
 # of Units (Apartments Only):
  
Owner Name:
Contact Person:
 Contact Person Title:
Contact Person Phone:
 Contact Person Email Address:
Business or Residential Community Physical Address:
 Physical Address Zip
  
Business or Residential Community Mailing Address:
 Mailing Address Zip:
  
1. Are you aware of the New State Mandated Recycling requirement? Yes No
2. Does your company or organization generate four (4) or more cubic yards of waste per week? Yes No
3. Is your facility a multi-family dwelling of five or more (5+) units? Yes No
4. Do you have a recycling program in place? Yes No
5. If you have a recycling program, which materials do you currently recycle at your place of business or multi-family
    housing complex? (Check all that apply)
  A. 1. Paper Fiber (Cardboard, office paper, mail/junk mail, newspaper, catalogs, telephone books, magazines, brown grocery bags)
    2. CRV Containers (CA Redemption Value, aluminum, glass, and plastic beverage containers)
    3. Glass (bottles and jars);
Other glass (specify)
    4. Plastic (containers, milk jugs, bags, sheet wrap/film;
Other plastic (specify)
    5. Metal containers (steel/tin soup cans, vegetable cans, etc.)
  B. 1. Metal (appliances, scrap metal)
    2. Wood pallets/lumber
    3. Clothing and/or textiles
    4. Electronic waste
    5. Automotive fluids (motor oil, anti-freeze, brake fluids, etc.)
    6. Other (specify)
6. Please indicate how the recycled materials are stored, collected, and transported.
    A. The recyclable materials are:
    1. Source seperated (recyclables are removed from solid waste-stream and placed into recycling containers by material type).
    2. Comingled (recyclables are mixed together).
  B. The materials are transported/recycled through:
    1. Service provider/hauler Bertolotti Ceres Disposal Other
    2. Self-haul from my entity to a recycling drop-off/recycling facility
    3. Non-profit organization/group
  C. Do you redeem materials for cash or donate?
    1. redeem for cash
    2. donate
7. Please answer the questions below about composting.
    A. Which materials do you currently separate for composting? (Check all that apply).
    1. Yard waste (grassclippings, leaves, branches, weeds, etc.)
    2. Wood waste/chipping
    3. Food waste/paper products
  B. The materials are composted through:
    1. Onsite composting
    2. Self-haul from my facility to a compost facility
    3. Landscaper/contractor
    4. Service provider Bertolotti Ceres Disposal Service hauler Other
8. I am the authorized representative of the above named entity, and I certify that the foregoing is true and correct, to
    the best of my knowledge.
E-mail address:
E-mail address must be entered to receive a return response.
 Date form submitted:

 
City of Ceres Engineering Services Department, 2220 Magnolia Street, Ceres, CA 95307
Need help in filling out this questionnaire or starting recycling services?
Contact Kay Dunkel, City of Ceres, by phone: (209) 538-5790, or by email at: kay.dunkel@ci.ceres.ca.us. Thank-you!