Businesses, schools/colleges, and other commercial and institutional establishments, are to use this form to report 2009 recycling activity.

The information will be used to document Cranberry Township's recycling rates as required by the Commonwealth of Pennsylvania.

Name of Business or Establishment:*

Contact Person:*

Telephone number:*

Email Address:*

Local Address:*

Corporate Address:

1. If you used a professional document destruction company (Shred-It, Iron Mountain, All Safe) please specify the company:

This authorizes Cranberry Township to access records of the weighed amount that the company recycled.

2. Please check the appropriate box describing your recycling

This facility has a recycling container provided by (check one):

Vogel

J.J. Brunner

Waste Management

Allied Waste

Valley Waste

Other: (Please provide name of business/hauler and phone number)

This facility recycles its own materials:

Approximate recycled tonnage: (per year)

This facility currently has no recycling containers.