1

Business Information:

 *

Business Information:

Business Name	Business Type (Retail, Restaurant, Office, etc.)
Business Address	Contact Name
Contact Phone#	Contact E-Mail

2

Do you currently have a Zero Waste policy in place? 

Do you currently have a Zero Waste policy in place?

Yes

No

3

Have you achieved an average 90% or greater overall diversion from landfill, incineration (waste-to-energy), and the environment for solid, non-hazardous wastes (referred to as “materials” herein) for the most recent six (6) months? Have diverted materials been reduced, reused, recycled, composted, and/or recovered for productive use in nature or the economy?

Have you achieved an average 90% or greater overall diversion from landfill, incineration (waste-to-energy), and the environment for solid, non-hazardous wastes (referred to as “materials” herein) for the most recent six (6) months? Have diverted materials been reduced, reused, recycled, composted, and/or recovered for productive use in nature or the economy?

Yes

No

4

Do you meet all federal, state, and local solid waste and recycling laws/regulations and comply with all air, water, and land discharge permits required for collection, handling, or processing of materials if applicable?  

Do you meet all federal, state, and local solid waste and recycling laws/regulations and comply with all air, water, and land discharge permits required for collection, handling, or processing of materials if applicable?

Yes

No

5

Can you provide data documenting waste diversion activities of materials for the most recent six (6) months?  

Can you provide data documenting waste diversion activities of materials for the most recent six (6) months?

Yes

No

*You must submit waste diversion data annually to the Office of Sustainability to keep your certification current.

1. To receive a copy of your submission, please fill out your email address below and submit.
2. Email Address

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