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Thursday September 2, 2010

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* First Name:
* Last Name:
* Company:
* Job Title:
* Address 1:
Address 2:
* City:
* State:
* Country:
*Zip:
* E-mail address:

1. What is your company's primary business? *(please circle only one from answers A-X below)


Private Sector
	AA. Landfill
	BB. Waste Haulers & Transfer Stations
	CC. Recycling/Recovery Facilities
	DD. Composting
	EE. Scrap Dealer/Processor/Broker
	FF. Other

Public Sector
	GG. Landfill
	HH. Waste Haulers & Transfer Stations
	II. Recycling/Recovery Facilities
	JJ. Municipal (City, Twp, Village) Gov't(incl. Public Works & Water/Wastewater Depts.)
	KK. County Gov't
	LL. State Gov't
	MM. Regulatory/Compliance Agency
	NN. Other

Industrial/Commercial Waste Generators creators of waste in the following areas
	OO. Construction
	PP. Agriculture
	QQ. Manufacturing (SIC's 20-39)
	RR. Utility Company (including Gas, Electric, Oil & Power Generation)
	SS. Service Industries (Retail, Hotels, Airlines, Food Service, Medical)
	TT. Equipment Distributor/Dealer
	UU. Other

Other
	VV. Environmental Consulting
	WW. Engineering/Attorney/Finance/Insurance
	XX. Others Allied to the Field, including Schools, Associations

2. Which waste streams does your company/agency work with? (Check ALL that apply)

	AA. Solid
	BB. Air
	CC. Water/Wastewater
	DD. Hazardous
	EE. None of the Above

3. What is your primary job function? *

	AA. General/Corporate Mgt/Gov't Leaders (inc. CEO, COO, Directors, Owners, Partners, Mayors, City Council, & other related functions)
	BB. Operations Management (inc. Public Works Mgrs, City Managers, Corporate Compliance Mgrs, EHS Mgrs, Field & District Managers & Supervisors, Landfill, Fleet & Plant Managers)
	CC. Engineering
	DD. Consulting
	EE. Field Personnel - General
	FF. Sales or Marketing
	GG. Purchasing
	HH. Other

4. Do you recommend, specify or approve purchases of equipment and/or services in the waste industry?

	Yes
	No

5. In addition to the primary business you circled in item 1, what other business areas are you involved with? (check all that apply from answers A-X below)


Private Sector
	AA. Landfill
	BB. Waste Haulers & Transfer Stations
	CC. Recycling/Recovery Facilities
	DD. Composting
	EE. Scrap Dealer/Processor/Broker
	FF. Other

Public Sector
	GG. Landfill
	HH. Waste Haulers & Transfer Stations
	II. Recycling/Recovery Facilities
	JJ. Municipal (City, Twp, Village) Gov't(incl. Public Works & Water/Wastewater Depts.)
	KK. County Gov't
	LL. State Gov't
	MM. Regulatory/Compliance Agency
	NN. Other

Industrial/Commercial Waste Generators creators of waste in the following areas
	OO. Construction
	PP. Agriculture
	QQ. Manufacturing (SIC's 20-39)
	RR. Utility Company (including Gas, Electric, Oil & Power Generation)
	SS. Service Industries (Retail, Hotels, Airlines, Food Service, Medical)
	TT. Equipment Distributor/Dealer
	UU. Other

Other
	VV. Environmental Consulting
	WW. Engineering/Attorney/Finance/Insurance
	XX. Others Allied to the Field, including Schools, Associations

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