CellMark 
WasteStream Solutions 
80 Washington St. 
PO Box 641 
Norwalk, CT 
USA 
Tel 201-914-5112 
www.cellmarkwastestream.com 



We look forward to meeting with you, and identifying specific areas for improvement/savings to your waste management program. How much exclusive industry information you get through our initial assessment, depends on you. To enable a complete report, encompassing your entire organization's recycling operations please assist us by answering this brief questionnaire. This may require collaboration with other departments.

Please select your business channel:

NameFirst
 Last
Email:
Title:
 
Address: Address 1
  Address 2
  City
 State/Province
  Zip/Postal Code
 Country
Telephone:
 
Have you set solid waste reduction targets?   Yes No
 
1. What is your annual recyclable tonnage of amount?
 
2. Focusing on your Recycled Waste;
a.Which grades of paper comprise your paper recyclables? (check all that apply, and est. percent of total recycled waste & Equipment used*):

Printers Mix                                     Avg. Tons/Mo  Pick ups/Mo.
Groundwood Free Ledger (white)    Avg. Tons/Mo    Pick ups/Mo.
Groundwood Free Ledger (colored) Avg. Tons/Mo    Pick ups/Mo.
Coated Sections                              Avg. Tons/Mo    Pick ups/Mo.
Unprinted Hard White                    Avg. Tons/Mo    Pick ups/Mo.
Light Print SBS                               Avg. Tons/Mo    Pick ups/Mo.
Heavy Print SBS                             Avg. Tons/Mo    Pick ups/Mo.
Hot Melt Glued Sections                 Avg. Tons/Mo    Pick ups/Mo.
Skidded Over runs                         Avg. Tons/Mo  Pick ups/Mo.
Damaged Full Rolls                        Avg. Tons/Mo  Pick ups/Mo.
Butt Rolls                                      Avg. Tons/Mo  Pick ups/Mo.
Other                                            Avg. Tons/Mo    Pick ups/Mo.



b. Other recyclables? (check all that apply, and est. percent of total non-recycled waste):

Shrink wrap/Stretch film   Avg. Tons/Mo    Pick ups/Mo.
Pallets/Wood                    Avg. Tons/Mo    Pick ups/Mo.
Pallets/Plastic                    Avg. Tons/Mo    Pick ups/Mo.
Metals                              Avg. Tons/Mo    Pick ups/Mo.
Other                               Avg. Tons/Mo    Pick ups/Mo.
 
3. Who is your current vendor?
 
4. Have you set solid waste reduction targets?   Yes No
If yes, please describe
 
5. Indicate any waste streams or material of special concern
 
6. Indicate any specific disposal restrictions affecting your facility
 
7. Is adequate space available for the collection, processing or storage of current and future recyclables? Yes No
If no, please describe
 
8. What is your annual recycling rebate?
 
9. Focusing on your solid waste (rubbish):
 
9a. What is your annual Municipal Solid Waste (Rubbish) cost? $
 
9b. Estimate how much solid waste your company generates annually. tons
 
Location/Dept Serviced
 
9c. Do you own the equipment?   Yes No
 
9d. Do you have container overflow problems?   Yes No
 
9e. Do you experience seasonal fluctuation in waste generation?   Yes No
 
9f. Current service provider
 

Thank you for taking the time to complete CellMark’s information needs assessment. If you have any questions regarding the completion of this questionnaire please contact: