PROJECT GREEN SWEEP APPLICATION Sarasota County Hazardous Waste 8750 Bee Ridge Road Sarasota, FL 34241 941-861-5000 www.scgov.net GENERATOR INFORMATION Business/Organization Name: ___________________________________________________________ Contact: ___________________________________________________________ Title: ___________________________________________________________ Business Address: ___________________________________________________________ ___________________________________________________________ Mailing Address: ___________________________________________________________ ___________________________________________________________ Phone: ___________________________________________________________ Email: ___________________________________________________________ Do you have an EPA Identification Number? Yes No If Yes, please list: _________________ Federal regulations require large and small quantity generators of hazardous waste to obtain an EPA Identification (EPA ID). For more information, visit http://www.epa.gov/hwgenerators/how-hazardous-waste-generators-transporters-and-treatment-storage-and-disposal. Select Type of Business: Automotive Repair Cabinet Manufacturing Metal Manufacturing Photographic Laboratory Veterinarian Office Auto Body Repair/Detailing Laboratory Misc. Contractor Print Shop Other ___________________ Building/Condo. Maintenance Medical/Dental Office Painter Contractor Recreational Facility GENERATOR STATUS CESQG (Conditionally Exempt Small Quantity Generator): A business that generates 100kg/220lbs or less of hazardous waste OR 1kg/2.2lbs or less of an acute hazardous waste in any calendar month. SQG (Small Quantity Generator): A business that generates more than 100kg/220lbs but less than 1,000kg/2,200lbs of hazardous waste AND no more than 1kg/2.2lbs of acute hazardous waste in any calendar month. SQG's can only use Project Green Sweep to dispose of universal or other regulated wastes that are not determined to be hazardous by environmental regulations. An SQG business with waste that is determined to be hazardous must deal directly with a permitted and licensed treatment, storage or disposal company. LQG (Large Quantity Generator): A business that generates at least 1,000kg/2,200lbs of hazardous waste OR more than 1kg/2.2lbs of acute hazardous waste in any calendar month. LQG's can only use Project Green Sweep to dispose of universal or other regulated wastes that are not determined to be hazardous by environmental regulations. An LQG business with waste that is determined to be hazardous must deal directly with a permitted and licensed treatment, storage or disposal company. Please select one: CESQG SQG* LQG* *SQG and LQG Generators may only dispose of universal and certain regulated wastes under Project Green Sweep. They may NOT dispose of hazardous wastes through Project Green Sweep. Sarasota County prohibits discrimination in all services, programs or activities. View the complete policy at https://www.scgov.net/ADA/Pages/default.aspx. PROJECT GREEN SWEEP APPLICATION Sarasota County Hazardous Waste 8750 Bee Ridge Road Sarasota, FL 34241 941-861-5000 www.scgov.net WASTE DISPOSAL INFORMATION Please list each waste you would like to dispose of through Project Green Sweep. Include copies of Material Safety Data Sheets (MSDS) if available. SQG and LQG Generators may only dispose of universal and certain regulated wastes under Project Green Sweep. They may NOT dispose of hazardous wastes through Project Green Sweep. Universal Waste: Under certain conditions, batteries, pesticides, mercury thermostats and lamps qualify as a universal waste and not as a hazardous waste. Other Regulated Waste: There are materials that may not qualify as hazardous or universal wastes but are otherwise banned from landfill disposal in Sarasota County. Some of these materials include electronics, oil, oil filters and latex paints. Name of Waste: Name of Waste: Amount (indicate lbs or kg): Amount (indicate lbs or kg): Container Size: Container Size: Name of Waste: Name of Waste: Amount (indicate lbs or kg): Amount (indicate lbs or kg): Container Size: Container Size: Name of Waste: Name of Waste: Amount (indicate lbs or kg): Amount (indicate lbs or kg): Container Size: Container Size: CERTIFICATION Project Green Sweep is a program only available to hazardous or other regulated waste generators in Sarasota County. By electronically signing this application, I certify that the information provided in this application is, to the best of my knowledge and belief, true, accurate and complete. I understand that this information will be verified and that providing false information or presenting wastes that have been misrepresented or mischaracterized may disqualify me from participating in Project Green Sweep and may result in a referral to the Florida Department of Environmental Protection. ________________________________________ Signature, Business/Organization Representative ________________________________________ Signature, Project Green Sweep Representative ________________________________________ Printed Name, Business/Organization Representative ________________________________________ Printed Name, Project Green Sweep Representative ________________________________________ Date ________________________________________ Date Sarasota County prohibits discrimination in all services, programs or activities. View the complete policy at https://www.scgov.net/ADA/Pages/default.aspx. Updated January 2016
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