2906-HHW-_FAR-FY17-18

w HOUSEHOLD HAZARDOUS WASTE
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ma„- :: COLLECTION
a:: Facility Annual ReportP
a a m?_ =` `s` . ,:> . ;' -£,For the period of July 1,2017-June 30,2018s
According to G.S. 130A-309.09D(b), completed forms must be returned by August 1, 2018, and a copy of this report must be sent to the
County Manager of each county from which waste was received. If you have questions or require assistance in completing this report,contact
your Regional Environmental Senior Specialist.
Facility Name:Davidson County Landfill-HHW Permit: 2906-I-II-IW
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Street 1: 220 Davidson County Landfill Rd Street 1: P.O.Box 1067
Street 2: Street 2:
City: Lexington County:Davidson City: Lexington
State: North Carolina Zip: 27292 State: North Carolina Zip: 27293
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Name: Steven Sink Name: Stacy Craven
Phone: [phone] Fax: Phone: [phone] Fax:
Email: [e-mail] Email: [e-mail]
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1.Did your facility stop receiving waste during this past Fiscal Year? Yes X No
If so,please report the date this occuned:
2.Indicate e and uanti of material acce ted for treatment and its destination. tYP 9 h' p tte.r tiviio v tti sible.#'ur
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Fluorescent Lightbulbs 346.00 Pounds 5.Prepared for disposal 3RC,North Carolina
Other Mercury-Containing Pounds
Material Select...
Electronic Material Pounds Select...
Flammable Solids 3,283.00 Pounds 5.Prepared for disposal 3RC,North Carolina
Oxidizing Material 235.00 Pounds 5.Prepared for disposal 3RC,North Carolina
Poisonous Material 1,961.00 Pounds 5.Prepared for disposal 3RC,North Carolina
Flammable Liquids 1,796.00 Pounds 5.Prepared for disposal 3RC,North Carolina
Corrosive Material 750.00 Pounds 5.Prepared for disposal 3RC,North Carolina
Batteries 7,pp Pounds 5.Prepared for disposal 3RC,North Carolina
Compressed Gases 1,053.00 Pounds 5.Prepared for disposal 3RC,North Carolina
Antifreeze,Used Oil,Filters 3,954.30 Pounds 5.Prepared for disposal 3RC,North Carolina
Paint,Latex 47,789.00 Pounds 5.Prepared for disposal 3RC,North Carolina
Paint,Alkyd 15,526.00 Pounds 5.Prepared for disposal 3RC,North Carolina
Other: Pounds Select...
Other: Pounds Select...
Other: Pounds Select...
Total 76,700.30
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3.Total household hazardous waste receive at this facility during the eriod of July 1,2017 through June 30.2018. Indicate in Pounds
amount received by COLJNTY ofwaste origin. Please indicate COiJNTY and STATE,ifreceived from another state.
Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Total
Received trom
Davidson 7,429 7,244 4,679 5,372 5,153 4,077 2,346 4,240 6,1533 8,214 13,637 8,156 76,700 3
Total from#2:76,700.3 Difference between#2 and#3: 0 Grand Total 76,700.3
Reason for Difference between#2 and#3:
4.Number of participants who delivered materials to the HHW facility: 703.00
5.Does your facility accept waste from conditionally exempt small quantity generators(CESQG)? Yes X No
If yes,do you charge for CESQG waste? Yes X No
6.Are certified operator(s)employed at this facility? X Yes No
If yes,indicate the following:
Name: Steven Sink Certification type and expiration date: MOLO-4/20;Transfer-5/19
Name: William Noonan Certification type and expiration date: MOLO-6/22;Transfer-3/19
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Please return your completed report to:
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t tcsflt "1,321...=:. Susan Heim
450 W Hanes Mill Road Suite 300A
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seii t4i' Winston-Salem,NC 27105
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z=`_` `' J i';.'"'"' Tele:336.776.9672 Email: [e-mail]
CERTIFICATIO • certt that the information provided is an accurate representation ofthe activity at this facility.
Signature: S`n`, Date: -3 `/
Name: Stacy Craven Title: Accounting Tech IV
Phone Number: [phone] Email: [e-mail]
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